经尿道等离子体双极前列腺电切术后尿道外口狭窄治疗及预防方法  

The Prevention and Treatment for External Orifice Stricture Following TUPKRP

作　　者：朱凌峰[1] 林文洪[1] 吴卫真[1] 谭建明[1] 倪榕[1] 

机构地区：[1]解放军南京军区福州总医院泌尿外科,福建福州350025

出　　处：《临床军医杂志》2006年第3期307-308,共2页Clinical Journal of Medical Officers

摘　　要：目的分析经尿道等离子双极前列腺电切术(TUPKRP)后尿道外口狭窄产生的原因,并探讨相应的预防和治疗措施。方法对12例发生尿道外口狭窄的患者采用尿道外口扩张、尿道外口切开,对最近56例施行TUPKRP患者采用预防性尿道外口切开及加强术后尿道外口的护理。结果所有术后发生尿道外口狭窄的患者均治愈,采取预防措施的患者术后均未发生尿道外口狭窄。结论尿道外口狭窄是TUPKRP术后较常见的并发症,但可采取有效措施预防。一旦发生,定期尿道扩张术处理安全有效。Objective To analyze the causes of external orifice stricture following TUPKRP, and to discuss how to prevent and treat it. Methods Twelve patients who suffered from external orifice stricture were treated with urethral dilation, and we performed prophylactic urethrotomy just before operation on the latest 56 patients who underwent TUPKRP and strengthened local nursing aftez the operation. Results All patients, who suffered from external orifice stricture were cured. None of 56 patients who underwent prophylactic urethral incision suffered from external orifice stricture after the operation. Conclusion External orifice stricture is s common complication following TUPKRP which can be prevented by adopting effective measures before operation. This kind of com- plication can be safely treated by regular urethral dilation once it happens.

关 键 词：前列腺增生 前列腺电切术 尿道外口狭窄 

分 类 号：R695[医药卫生—泌尿科学]