[1]续奇志,邵晋凯,蔚锐传,等.经尿道前列腺电切术后排尿困难的原因、治疗和预防[J].中国微创外科杂志,2009,09(7):630-634.
　Xu Qizhi,Shao Jinkai,Yu Ruichuan,et al.Causes, Treatments and Prevention of Dysuria after Transurethral Resection of Prostate (TURP)[J].Chinese Journal of Minimally Invasive Surgery,2009,09(7):630-634.
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经尿道前列腺电切术后排尿困难的原因、治疗和预防()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年7期
页码:
630-634
栏目:
出版日期:
2009-08-25

文章信息/Info

Title:
Causes, Treatments and Prevention of Dysuria after Transurethral Resection of Prostate (TURP)
作者:
续奇志; 邵晋凯; 蔚锐传; 吕永安
山西省人民医院泌尿外科，太原030012
Author(s):
Xu Qizhi;  Shao Jinkai;  Yu Ruichuan;  et al.
Department of Urology, People’s Hospital of Shanxi Province, Taiyuan 030012, China
关键词:
经尿道前列腺电切术; 排尿困难; 前列腺增生症
Keywords:
Transurethral resection of prostate (TURP); Dysuria; Benign prostatic hyperplasia(BPH)
分类号:
R697+.3
文献标志码:
A
摘要:
目的探讨经尿道前列腺电切（transurethral resection of prostate ，TURP）术后排尿困难的原因、治疗和预防。方法回顾分析2004年8月～2008年9月49例TURP术后出现排尿困难的临床资料。结果6例因为拔除尿管后膀胱颈和尿道水肿再次留置较细硅胶尿管,9例术后前列腺迟发出血未及时就诊予以膀胱冲洗后留置尿管, 20例尿道外口狭窄予以尿道扩张或尿道外口切开, 5例尿道其他部位狭窄予以尿道扩张，4例膀胱颈挛缩予以冷刀切开或扩尿道治疗，5例前列腺术后腺体残留4例予以再次电切，1例因结肠癌晚期长期卧床行膀胱造瘘术。结论TURP术后并发排尿困难,以尿道外口狭窄多见，尿道扩张是常用而有效的首选治疗方法。
Abstract:
ObjectiveTo investigate the causes, treatments, and prevention of dysuria after transurethral resection of prostate (TURP). MethodsThe clinical data of 49 cases of dysuria postTURP that were treated in our hospital from July 2004 to September 2008 were analyzed retrospectively.ResultsAmong the cases, 6 patients received silica catheterization again because of edema of the bladder neck and urethra; 9 underwent catheterization after bladder flush for delayed prostate bleeding; 20 underwent urethral dilatation or meatotomy due to meatal stenosis, 5 received urethral dilatation for urethral stricture; urethral dilatation or direct vision internal urethrotomy were performed on 4 cases who had bladder neck fracture; TURP was carried out for a second time in 4 cases because of glandular residual; suprapubic cystostomy was made in 1 case of colonal carcinoma for longterm bed rest. All cases were cured after the treatment.ConclusionsMeatal stenosis is the most common cause of dysuria postTURP.Urethral dilatation is the first choice for the disease.

参考文献/References:

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更新日期/Last Update: 2013-09-17