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目的探讨经尿道前列腺汽化电切术(TURP)治疗良性前列腺增生术后排尿困难的原因及处理方法,以提高前列腺汽化电切术的疗效。方法分析前列腺汽化电切术后出现排尿困难16例患者的临床资料。结果 16例患者中,7例尿道狭窄,包括尿道外口狭窄4例、后尿道狭窄2例及膀胱颈挛缩1例,给予尿扩及再次电切后治愈。3例膀胱功能障碍者给予药物及留置尿管等方法治愈。2例继发出血者,1例保守治疗,另1例2次电凝止血取得满意效果。2例腺体残留者也二次手术,效果满意。还有偶发前列腺癌、术后长期卧床者各1例也做相应处理。结论引起前列腺汽化电切术后排尿困难的原因较多,应严格掌握手术适应证,提高手术技能,积极预防术后并发症。
Objective To investigate the causes and treatment of dysuria after transurethral electrovaporization of the prostate (TURP) for the treatment of benign prostatic hyperplasia to improve the efficacy of transurethral resection of the prostate. Methods The clinical data of 16 patients with dysuria after prostatectomy were analyzed. Results Of the 16 patients, 7 had urethral stricture, including 4 cases of urethral stenosis, 2 cases of posterior urethral stricture and 1 case of contracture of bladder neck. All patients were treated with urinary expansion and re-incision. 3 cases of bladder dysfunction were given drugs and indwelling catheter cure. 2 cases of secondary hemorrhage, 1 case of conservative treatment, and the other 2 cases of coagulation to achieve satisfactory results. 2 cases of residual glands are also the second surgery, the effect is satisfactory. There are occasional prostate cancer, postoperative long-term bed in each case also do the appropriate treatment. Conclusions There are many reasons for dysuria after prostatic vaporization and resection of the prostate. SURGICAL indications should be strictly followed to improve the surgical skills and prevent postoperative complications.