经尿道前列腺切除术后再手术32例临床分析  

Reoperation after transurethral resection of prostate (reports of 32 cases)

作　　者：孙家庆[1] 吴永第[1] 崔增林[1] 孙光耀[1] 刘大闯[1] 晁亮[1] 王军起[1] 谢叔良[1] 

机构地区：[1]徐州医学院附属第三医院,江苏徐州221003

出　　处：《中国内镜杂志》2009年第11期1190-1192,共3页China Journal of Endoscopy

摘　　要：目的探讨良性前列腺增生(BPH)经尿道前列腺切除术(TURP)后再手术原因及处理。方法回顾性分析32例TURP术后再次手术患者的临床资料及治疗方法。结果TURP术后继发出血保守治疗无效者7例;膀胱颈痉挛者8例;尿道外口狭窄经尿道扩张效果不理想者3例;腺体残留或复发因排尿困难需再次TURP者11例;TURP术后前列腺癌再手术者3例,均经相应手术后痊愈或好转。结论术后腺体残留或复发、尿道狭窄以及出血是TURP术后再手术的主要原因,多可通过腔内治疗而痊愈。提高手术者的技术水平是降低TURP术后再手术发生率的关键。[ Objective ] To investigate the reason and therapy of reoperation after transurethral resection of the prostate （TURP） for benign prostatic hyperplasia （BPH）. [Methods] The clinical data and the therapy of 32 cases receiving reoperation after TURP were retrospectively analyzed. [ Results ] Among the 32 cases, 7 cases had hemorrhage after TURP which could not be cured by conservative treatment, 8 cases had bladder neck eontraeture; 3 cases had stricture of external urethral orifice which was not effectively solved by urethral dilatation, 11 cases had dysuria because of residual gland or recurrence, 3 cases need reoperation for prostatic carcinoma. All were cured or improved after corresponding operation. [ Conclusion] Residual gland or recurrence of BPH, urethral stricture, bleeding are the main causes of reoperation of postoperative TURP, they can be cured through intracavitary therapy. To improve the technical level of operators is the key of reducing the incidence of reoperation after TURP.

关 键 词：良性前列腺增生 经尿道前列腺切除术 

分 类 号：R693.72[医药卫生—泌尿科学]