经尿道前列腺切除术后并发症再入院分析

Analysis on readmission by reason of postoperative complications after transurethral prostatectomy

目的 探讨经尿道前列腺切除术后出现较严重并发症需再入院原因。 方法 分析 1998年 6月～ 2 0 0 3年 6月我院收治的经尿道前列腺电切术 (14例 )、电汽化术 (3例 )、激光切除术 (9例 )及钬激光前列腺剜除术 (1例 )后再入院共 2 7例的临床资料。 结果 再入院原因为术后膀胱内大出血 4例 ,尿潴留 15例 ,尿道狭窄 3例 ,膀胱颈挛缩 2例 ,严重尿频 2例 ,尿失禁 1例。 结论 经尿道前列腺切除的各种手术方式均可产生后期严重并发症 ,应予重视。

Objective To study the reasons leading to readmission in patients with severe postoperative complications after transurethral prostatectomy. Methods Clinical data of 27 cases of readmission after transurethral resection of prostate (TURP, 14 cases), transurethral vaporization of prostate (TUVP, 3 cases), transurethral laser prostatectomy (TULP, 9 cases) or holmium laser enucleation of prostate (1 case) in this hospital from June 1998 to June 2003 were analyzed. Results Reason leading to readmission included: postoperative severe bleeding in bladder (4 cases), urinary retention (15 cases), urethral stricture (3 cases), bladder neck contracture (2 cases), severe urinary frequency (2 cases) and urinary incontinence (1 case). Conclusions More weight should be placed on the fact that various modes of transurethral prostatectomy may precipitate severe long-term complications.