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目的分析前列腺增生术后再次尿潴留的发生原因。方法选取医院2013年5月-2015年8月收治的前列腺增生术后再次尿潴留患者52例,回顾性分析患者临床资料,对其发生再次尿潴留的原因进行分析。结果52例前列腺增生患者发生再次尿潴留的原因为:尿道狭窄27例(51.9%),膀胱颈缩窄14例(26.9%),膀胱功能异常4例(7.7%),前列腺腺体残留4例(7.7%)、良性前列腺腺体增生3例(5.8%)。52例患者经再次手术治疗后尿潴留消失,患者痊愈出院。结论在前列腺增生手术中,应重视后期再次尿潴留风险,在前列腺增生手术过程中严格执行操作规程,术后注意非手术治疗,对前列腺增生术后再次尿潴留的发生加以预防,促使患者尽早康复。
Objective To analyze the causes of urinary retention after benign prostatic hyperplasia. Methods Fifty-two patients with recurrent urinary retention after benign prostatic hyperplasia were selected from May 2013 to August 2015 in our hospital. The clinical data of the patients were retrospectively analyzed, and the causes of recurrent urinary retention were analyzed. Results The causes of recurrent urinary retention in 52 cases of benign prostatic hyperplasia were: urethral stricture in 27 cases (51.9%), bladder neck narrowing in 14 cases (26.9%), bladder dysfunction in 4 cases (7.7%), prostate gland residual in 4 cases (7.7%), benign prostatic hyperplasia in 3 cases (5.8%). Fifty-two patients disappeared after reoperation and the patients were discharged. Conclusions In prostatic hyperplasia surgery, attention should be paid to the risk of re-urinary retention in the later stage. Strict implementation of procedures in the process of benign prostatic hyperplasia should be followed up with non-surgical treatment to prevent recurrence of urinary retention after benign prostatic hyperplasia and prompt recovery of patients .