TURP术后尿道狭窄临床分析及对策研究  

Clinical analysis and countermeasure for post-transurethral resection of prostate urethral stricture

作　　者：李新[1] 宋思吉[2] 蒋涛[2] 卢根生[2] 熊恩庆[2] 金锡御[2] 宋波[2] 周占松[2] 

机构地区：[1]成都军区昆明总医院泌尿外科,昆明650042 [2]第三军医大学西南医院全军泌尿外科研究所,重庆400038

出　　处：《第三军医大学学报》2013年第15期1596-1598,共3页Journal of Third Military Medical University

基　　金：重庆市自然科学基金(CSTC2010BB5170);国家创伤;烧伤;复合伤重点实验室开放课题(SKLKF201007)~~

摘　　要：目的探讨经尿道前列腺切除术(transurethral resection of prostate,TURP)术后尿道狭窄的预防及诊治策略。方法回顾性分析2006-2010年本科104例TURP术后尿道狭窄患者临床资料,总结患者术后临床症状、发病时间、狭窄发生部位及疗效,结合临床检查情况进行分析。结果前列腺增生患者TURP术后尿道狭窄发生率为(4.44%,104/2 341);TURP术后尿道狭窄多发生于术后1年内,术后4～6个月为本组尿道狭窄发生高发期(41.35%,43/104);TURP术后尿道狭窄最常见狭窄部位为膜部尿道(35.58%,37/104),其次为尿道外口(21.15%,22/104)、膀胱颈(18.27%,19/104)及悬垂部(15.38%,16/104)。结论加强手术操作技能训练、尿管护理及充分润滑有助于预防TURP术后尿道狭窄的发生,治疗需要根据尿道狭窄部位及程度进行选择。Objective To analyze the clinical characteristics of urethral stricture after transurethral resection of prostate（TURP）.Methods One hundred and four patients with urethral stricture after TURP were reviewed since January 2006 to December 2010.Results The incidence of the 104 patients suffered with urethral stricture after TURP was 4.44%（104 /2 341）.Most urethral stricture occurred within one year after TURP,and the occurrence of urethral stricture reached the peak at 4-6 months after TURP（41.35%,43 /104）.The extremely common stricture site was membranous urethra（35.58%,37 /104）,followed by external urethral orifice（21.15%,22 /104）,neck of bladder（18.27%,19 /104） and hanging portion（15.38%,16/104）.Conclusion Post-TURP urethral stricture has its own patterns,and improving TURP skill and urinary catheter nursing and applying gel in the urethra are helpful to prevent the occurrence of urethral stricture.The treatment should be selected based on the location and degree of urethral stricture.

关 键 词：TURP 尿道狭窄 病因 治疗 

分 类 号：R619[医药卫生—外科学] R695.06[医药卫生—临床医学]