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目的探讨经尿道前列腺汽化电切术(TUVP)后尿道狭窄的发生原因及防治措施。方法回顾性分析27例TUVP后尿道狭窄患者的临床资料。结果行单纯尿道扩张术9例,尿道外口切开术4例,尿道内切开术+尿道扩张术7例,尿道内切开术+电切术5例,均治愈;2例拒绝治疗。治愈率92.6%(25/27),随访6个月以上,均排尿通畅。结论 TUVP术后发生尿道狭窄有多种原因,术中仔细止血、术后加强护理、控制尿路感染等可预防TUVP后尿道狭窄的发生;综合治疗可提高治愈率。
Objective To investigate the causes of urethral stricture after transurethral vaporization of the prostate (TUVP) and its prevention and treatment. Methods The clinical data of 27 patients with urethral stricture after TUVP were retrospectively analyzed. Results Nine cases were treated with simple urethral dilatation, four cases with urethral incision, urethrotomy and urethral dilatation in 7 cases, urethrotomy and resection in 5 cases, all were cured and 2 cases refused treatment. The cure rate was 92.6% (25/27), follow-up more than 6 months, voiding patency. Conclusions There are many causes of urethral stricture after TUVP. Careful hemostasis during operation, postoperative nursing care and urinary tract infection control can prevent the occurrence of urethral stricture after TUVP. Comprehensive treatment can improve the cure rate.