[1]徐军,李会宁,屈栗明.经尿道前列腺电切术后尿道狭窄的原因及防治[J].中国微创外科杂志,2009,09(9):796-798.
　Xu Jun,Li Huining,Qu Liming..Causes and Prevention of Urethral Stricture after Transurethral Resection of the Prostate[J].Chinese Journal of Minimally Invasive Surgery,2009,09(9):796-798.
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经尿道前列腺电切术后尿道狭窄的原因及防治()
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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9期
页码:
796-798
栏目:
出版日期:
2009-09-30

文章信息/Info

Title:
Causes and Prevention of Urethral Stricture after Transurethral Resection of the Prostate
作者:
徐军; 李会宁; 屈栗明
陕西省第二人民医院泌尿外科，西安710005
Author(s):
Xu Jun;  Li Huining;  Qu Liming.
Department of Urology, Second People’s Hospital of Shaanxi Province, Xi’an 710005, China
关键词:
经尿道前列腺电切术; 尿道狭窄; 原因与防治
Keywords:
Transurethral resection of the prostate; Urethral stricture; Causes and prevention
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术(transurethral resection of prostate，TURP)术后尿道狭窄的原因及防治方法。方法回顾性分析2002年2月~2008年2月945例TURP中21例（2.2%）尿道狭窄的临床资料。年龄62~84岁，平均72.4岁。尿道狭窄发生时间为术后3周～24个月。前尿道狭窄13例（61.9%），后尿道狭窄5例（23.8%），膀胱颈挛缩3例（143%）。结果单纯尿道扩张治愈13例（61.9%），尿道口成形2例（9.5%），尿道口成形联合尿道扩张2例（9.5%），经尿道内切开1例（4.8%），再次行膀胱颈电切3例（14.3%）。随访6~36个月，平均13个月，21例均治愈，无复发。开展手术初期(2002年2月~2005年8月)尿道狭窄发生率3.7%(18/483)，后期发生率0.6%（3/462）（χ2=10.292,P=0.001）。结论 术中操作不熟练，术后留置尿管时间短，是导致此并发症发生的原因。术后定期随访和早期治疗是治愈的关键。
Abstract:
ObjectiveTo investigate the causes and prevetion of urethral stricture after transurethral resection of the prostate (TURP). MethodsA retrospective analysis was carried out in 945 cases, who were treated by TURP in our hospital during February 2002-February 2008. Among the cases, 21 patients (aged 62 to 84 years with a mean of 72.4 years) developed urethral stricture in 3 weeks to 24 months after the operation. In the cases, anterior urethral stricture was detected in 13 patients (61.9%), posterior urethral stricture was found in 5 (23.8%), and bladder neck contracture was diagnosed in 3 (14.3%).ResultsThe pateints were cured by simple urethral dilation (13, 61.9%), urethroplasty (2, 9.5%), urethroplasty plus urethral dilation (2, 95%), transurethral resection (1, 48%), or electroresection of the bladder neck (3, 14.3%). The patients were followed up for 6 to 36 months (mean, 13 months), during which, all the 21 cases recovered without recurrence. The rate of urethral stricture after TURP was 3.7% (18/483) during February 2002 to August 2005, which was significantly higher than that between September 2005 and February 2008 (0.6%, 3/462; χ2=10.292, P=0.001).ConclusionsUnskilled operation and short indwelling time of urethral catheter after the surgery are the major reasons for urethral stricture after TURP. Regular followup and early treatment are the keys to cure of the disease.

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更新日期/Last Update: 2014-01-08