经尿道前列腺电切术后排尿困难的原因及微创处理  

The Causes and Minimum Invasive Treatment for Dysuria Post TURP

作　　者：侯四川[1] 王新生[1] 董胜国[1] 阎靖中[1] 申东亮[1] 

机构地区：[1]青岛大学医学院附属医院泌尿外科,山东青岛266003

出　　处：《医学新知》2005年第1期38-39,共2页New Medicine

摘　　要：目的　分析经尿道前列腺电切术 (TURP)后排尿困难产生的原因 ,并探讨相应的预防和治疗措施。方法　对 36例TURP术后排尿困难的病人分别采用尿道扩张、Otis刀切开、直视下尿道内切开、重新TURP、膀胱颈切开、腔内碎石、间歇性清洁自家导尿及药物治疗。结果　所有病人排尿困难的症状均明显改善 ,无尿失禁等严重并发症。结论　排尿困难是TURP术后的常见并发症 ,可采取防范措施 ,微创处理安全有效。Objective To study the causes of dysuria post TURP, and discuss how to prevent and treat this complication.Methods 36 patients who suffered from disuria post TURP were treated by urethral dilation, Otis method, direct vision incision of the urethra, re-TURP, incision of the bladder neck, intra-vesical lithotripthy or intermittent clearing self-catheterization according to their condition.Results All patients' symptoms of disuria were improved significantly after treatment, and no incontinence occurred. Conclusion Disuria is a common complication post TURP, which can be prevented and treated safely by minimum invasive procedures.

关 键 词：经尿道前列腺电切术 排尿困难 原因 微创处理 良性前列腺增生症 

分 类 号：R699[医药卫生—泌尿科学]