经尿道前列腺电切术后发生膀胱颈挛缩的多因素分析  

Muhifactor Analysis of Bladder Neck Contracture after Transurethral Resection of Prostate

作　　者：邹全信[1] 侯四川[1] 刘志杰[1] 辛颖[1] 

机构地区：[1]青岛大学医学院附属青岛市立医院泌尿外科,山东266071

出　　处：《国际泌尿系统杂志》2012年第1期53-55,共3页International Journal of Urology and Nephrology

摘　　要：目的对经尿道电切术（TURP）后发生膀胱颈挛缩（BNC）的可能因素进行分析，探讨减少和预防该并发症的方法。方法对1120例行TURP的患者中31例发生BNC的数据进行统计学分析，在前列腺体积、手术熟练程度、置尿管时间及有无术前尿潴留、前列腺炎、糖尿病等方面进行比较，了解其可能发生的因素。结果BNC在小前列腺、单位电切时间长及合并前列腺炎的患者中发生率高（P〈0．05），而术前尿潴留、糖尿病对BNC发生无明显影响（P〉0．05）。结论前列腺体积小（〈30m1）、电流损伤及前列腺炎是发生BNC的重要因素。Objectives To analyze different factors related to the occurrence of bladder neck contracture （BNC） and to find possible ways of reducing this complication. Methods AH putative factors and the numbers of BNC cases were studied with statistical analyses in 1120 cases that had undergone transurethral resection of the prostate （ TURPS. Results Higher morbidity of BNC occurred in patients of small size of the prostate, prostatitis and longer time of operation. They were important factors of BNC. Conclusions The volume of the prostate （ 30ml） ,prostatitis and electrical injuries of resection are the primary factors of BNC.

关 键 词：前列腺切除术 尿道 电外科手术 膀胱疾病 

分 类 号：R699[医药卫生—泌尿科学]