腔内前列腺手术后排尿障碍的原因分析及预防

Cause analysis and prevention of dysuria after transurethral resection

为了分析腔内前列腺手术后发生排尿困难的原因,从而预防排尿困难并发症的发生。我们总结了我院2005～2007年收治的68例因前列腺增生症(BPH)行经尿道前列腺电切(TURP)、电汽化(TUVP)、等离子体电切(PKRP)、激光汽化(Ho-LEP、PVP)术后排尿困难的患者。68例患者均行经尿道前列腺腔内手术,术后4天～2年3个月发生排尿困难,分别采取再次TURP、膀胱颈切开、钬激光尿道狭窄内切开、冷刀尿道内切开、尿道扩张、膀胱造瘘和药物等治疗方法。通过测定尿流率及残余尿量,患者症状均得到满意的明显改善,排尿困难得到了不同程度的缓解。

Objective：To study the causes of dysuria after transurethral resection,so as to reduce and pre- vent its complication. Methods： 68 patients who suffered from dysuria after trans--urethral resection, were treated by urethral dilation, Ho--G incision of the urethra, re-- TURP, incision of the bladder neck,intra--vesi- cal lithotripsy and intermittent clearing self--catheterization respectively. Results：All patients＇ symptoms of dy- suria were improved significantly after treatment,and no incontinence occurred in this group. Dysuria is a com- mon complication transurethral resection,which can be prevented and treated safely by minimum invasive proce- dure.