耻骨上前列腺摘除术后发生排尿困难的原因及防治

Pathogenesis and prevention and treatment of dysuria after suprapubic prostatectomy

目的探讨耻骨上前列腺摘除术后发生排尿困难的原因及防治措施。方法采用耻骨上前列腺摘除术摘除前列腺４８０例次，术后出现排尿困难１８例。通过病例统计，分析其原因，提出防治措施。结果１８例中出现排尿困难的原因有：膀胱颈部狭窄或粘连８例，后尿道狭窄６例，腺体残留４例。经手术和非手术治疗，治愈１７例，好转１例（现失访）。结论耻骨上前列腺摘除术后出现排尿困难主要由医源性因素引起，只要临床医师高度重视该并发症发生的原因，术后发生排尿困难是可以避免的。

Obiective To research the pathogenesis,prevention and treatment methods of dysuria after suprapubic prostatectomy.Method In order to reduce the incidence of the dysuria,the pathogenesis,prevention and treatment of 18 cases of postoperative dysuria are studied by cases analysis.Results In 18 patients with dysuria,the pathogenesis of dysuria consisted of stricture or adhesion of bladder neck(8 cases),urethral stricture(6 cases),prostatic tissue remanits(4 cases).With treatment and reloperation,17 cases were cured,one cases were improved.[WT5”HZ〗Conclusion The dysuria results mainly from iatrogenic factors.It would be avioed if doctors had learned the pathogenesis before operation. [WT5”HZ〗