前列腺增生术后排尿困难原因分析(附14例报告)  

The causes of dysuria after operation for benign prostate hypertrophy(Report of 14 cases)

作　　者：吴成光[1,2] 李家贵[1,2] 杨为民[1,2] 

机构地区：[1]同济医科大学附属同济医院泌尿外科 [2]广西荔浦县人民医院泌尿外科

出　　处：《临床泌尿外科杂志》1999年第7期296-297,共2页Journal of Clinical Urology

摘　　要：目的：分析前列腺增生术后排尿困难的原因，为预防和治疗提供依据。方法：回顾性分析１４例前列腺增生术后出现排尿困难病例的临床资料。结果：９例耻骨上前列腺切除术病例中，膀胱颈梗阻６例，尿道外口狭窄、腺体残留和后尿道炎性粘连狭窄各１例；５例经尿道前列腺电切术病例中，腺体残留３例，血块堵塞和前尿道狭窄各１例。结论：膀胱颈口梗阻为耻骨上前列腺切除术后引起排尿困难的主要原因，而腺体残留则为经尿道前列腺电切术后排尿困难的重要原因。Purpose: The causes of dysuria after operation for benign prostate hypertrophy (BPH) were analysed so as to provide evidences for prevention and treatment. Methods: Clinical data of postoperative dysuria in 14 cases of BPH were analysed retrospectively.ZResults: In 9 case of suprapubic prostatectomy,there were 6 complicated with bladder neck obstruction,and each 1 with urethral meatus stricture,residual gland and inflammatory stricture of posterior urethra.In 5 cases of transurethral resection of prostate (TURP),there existed 3 with residual gland,each 1 with blood clot and anterior urethral stricture. Conclusions:Postoperative dysuria is mainly attributed to bladder neck obstruction in suprapubic prostatectomy and to residual gland in TURP.

关 键 词：前列腺增生 前列腺切除术 排尿障碍 手术后 

分 类 号：R697.320.6[医药卫生—泌尿科学] R694.5[医药卫生—外科学]