TUVP术后尿道不同部位狭窄的原因和防治  

Study on urethral stricture formation after transurethral electro-vapor resection of prostate(TUVP) and its prevention

作　　者：杨克冰[1] 吕伯东[1] 张士更[1] 黄晓军[1] 

机构地区：[1]浙江中医药大学附属第二医院泌尿外科,310005

出　　处：《浙江临床医学》2008年第5期598-599,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨经尿道前列腺汽化电切术(TUVP)术后不同部位尿道狭窄的原因和防治。方法对13例TUVP术后不同部位尿道狭窄病人分别行定期尿道扩张和经尿道电切镜下瘢痕切除术等。结果本组13例全部治愈。结论TUVP术后尿道外口(舟状窝)、尿道球部、尿道膜部和膀胱颈口等不同部位均可发生尿道狭窄,操作不当、硬镜损伤、功率过高及尿道炎症反应均是其原因,早期尿道定期扩张和及时经尿道电切镜下瘢痕切除术是解决尿道狭窄的简便、安全且有效的方法。Objective To explore the reason of urethral stricture formation after transurethral electro-vapor resection of prostate （TUVP） and its prevention. Methods 13 cases of urethral stricture in different position after TUVP had regular urethral sounding and transurethral resectoscopic cicatrectomy . Results 13 cases were all successfully cured . Conclusions Urethral stricture can happen at different part like external urethral meatus （Cruveilhier＇ s fossa） , bulb of urethra, membranous urethra and bladder neck , et al . Improper procedure, hard lens injury , over high power and inflammation were all its reasons . Early regular urethral sounding and transurethral resectoscopic cicatrectomy are easy , safe and effective ways of treatment .

关 键 词：TUVP 尿道狭窄 原因 防治 

分 类 号：R699[医药卫生—泌尿科学]