经尿道前列腺汽化电切术后尿道狭窄22例临床分析  

Analysis of 22 cases of urethral stricture after by Transurethral vapo-resection of prostate

作　　者：郭骏[1] 武树红 任维果 綦岩[1] 张维涛[1] 李金涛[1] 郑立泉[1] 程川[1] 

机构地区：[1]泰山医学院附属医院泌尿外科,山东省泰安市271000 [2]山东省肥城矿业中心医院泌尿外科

出　　处：《中国医药》2008年第4期234-235,共2页China Medicine

摘　　要：目的探讨经尿道前列腺汽化电切术（TUVP）后尿道狭窄的发生原因及防治措施。方法回顾性分析22例TUVP后尿道狭窄患者的临床资料。结果行单纯尿道扩张术6例，尿道外口切开术2例，尿道内切开术＋尿道扩张术6例，尿道内切开术＋电切术6例，均治愈；2例拒绝治疗。治愈率90．9％（20／22），随访3个月以上，均排尿通畅。结论TUVP术后发生尿道狭窄有多种原因，术中仔细止血、术后加强护理、控制尿路感染等可预防TUVP后尿道狭窄的发生；综合治疗可提高治愈率。Objective To analyze the causes and therapy of urethral stricture after transurethral vapo - resection of prostate （TUVP）. Methods Three hundred and sixty - eight benign prostatics hyperplasia cases treated with TUVP were reviewed. Among them, urethral stricture occurred in 22 cases. Results Six of the 22 cases underwent conventional dilation, 2 cases had meatotomy and 6 cases underwent internal urethrotomy plus electrocision. 20 cases （90.9%） were cured. All 22 patients were followed up for more than 3 months and all had normal urination. Conclusion Causes of urethral stricture after TUVP can be complicated. Carefull hemostasis during opration, enhancing catheter drainage management after surgery and urinary tract infection control may prevent urethral stricture after TUVP, meanwhile, the combined therapies could improve cure rate of this complication.

关 键 词：尿道狭窄 经尿道前列腺汽化电切术 良性前列腺增生 

分 类 号：R695[医药卫生—泌尿科学]