前列腺摘除术后排尿困难19例报告  

Dysuria after suprapubic prostatectomy(Report of 19 cases)

作　　者：黄洪才[1] 谢平迅[1] 吴宝国[1] 黎新荣[1] 张朝胜[1] 

机构地区：[1]广东省韶关市粤北人民医院泌尿外科,512026

出　　处：《岭南现代临床外科》2002年第3期163-164,共2页Lingnan Modern Clinics in Surgery

摘　　要：目的 探讨耻骨上前列腺摘除术后排尿困难的原因和治疗方法。方法 回顾性分析19例耻骨上前列腺切除术后排尿困难患者的临床资料。结果 耻骨上前列腺摘除术后排尿困难19例中膀胱颈梗阻10例,后尿道狭窄7例,腺体残留2例。经尿道电切10例,经尿道电汽化5例,开放手术2例,均一次成功治愈。2例仅行尿道扩张。结论 经尿道电切或电汽化是治疗前列腺术后排尿困难的较好方法。Objective To investigate the causes and treatment of dysuria after suprapubic prostatecto-my. Methods 19 cases of clinical data of dysuria after suprapubic prostatectomy were analysed retrospective-ly. Results In 19 cases of dysuria after suprapubic prostatectomy, there were 10 cases associated with bladder neck obstruction, 7 with stricture of posterior urethra and 2 with residual gland. Among of them, 10 were treated with transurethral electric resection, 5 with transurethral vaporization, and 2 with open operation, 17 cases were cured succe fully for only once. 2 cases were treated with dilatation of urethra only. Conclusion Transurethral electric resection and transurethral vaporization are a better therapeutic method for treating dysuria after suprapubic prostatectomy.

关 键 词：前列腺切除术 排尿障碍 尿道扩张 

分 类 号：R6[医药卫生—外科学]