TURP术后患者二次入院的原因分析

目的研讨经尿道前列腺电切(TURP)术后患者二次入院的原因。方法 TURP术后二次入院患者2O例。腺体残留或复发10例,9例再次实施经尿道前列腺电切术TURP;尿道狭窄6例,2例实施尿道扩张术,2例实施尿道内切开,1例实施耻骨上膀胱造瘘术;TURP术后继发出血3例,实施经尿道膀胱冲洗加电凝止血;前列腺癌1例,实施睾丸切除术。结果二次入院的2O例患者中,17例实施手术治疗,术后随访8个月至5年,效果满意16例(94.1%),1例尿道狭窄术后,定期进行尿道扩张。结论术前诊断准确,手术方式合理,术后处理合适,这些是预防患者术后二次入院的关键。

Objective To discuss transurethral resection of prostate（TURP）patients after the second cause of hospital admission.Methods Hospitalized patients after TURP the second method 20 cases.Gland residual or recurrent in 10 cases,9 cases of reimplementation of the transurethral resection TURP;urethral stricture in 6 cases,2 cases of urethral dilation implementation,the implementation of internal urethrotomy in 2 cases,1 case of chasing the implementation of suprapubic bladder fistula;3 cases of secondary bleeding after TURP,transurethral resection of bladder irrigation and the implementation of coagulation;prostate cancer in 1 case,the implementation of orchiectomy.Results 20 second hospital patients,17 patients with the implementation of surgery,were followed up for 8 months to 5 years,satisfactory results in 16 cases（94.1%）,1 case of postoperative urethral stricture,regular urethral dilatation.Conclusion The accuracy of preoperative diagnosis,surgical and reasonable,appropriate postoperative management of these patients is to prevent the key to the second hospital.