经尿道前列腺电切术后尿道狭窄的防治研究  

Study of Prevention and Cure of Postoperative Urethral Stricture after Transurethral Prostatectomy

作　　者：徐宝海[1] 唐明忠[1] 

机构地区：[1]陕西省安康市中心医院泌尿外科,安康725000

出　　处：《中国医药导刊》2013年第7期1148-1148,1150,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨经尿道前列腺电切(TURP)术后尿道狭窄的防治。方法:回顾TURP治疗良性前列腺增生(BPH)患者940例,对术后出现35例尿道狭窄进行总结。结果:940例患者,术后1月～2年发生尿道狭窄35例。前尿道狭窄15例,后尿道狭窄12例,膀胱颈挛缩8例。35例随访1月～2年,平均12个月。单纯尿道扩张术18例,12例完全治愈,6例改行尿道内切开术;尿道内切开加尿道扩张术9例完全治愈,膀胱颈部挛缩者8例,行膀胱颈部挛缩电切术均治愈。结论:尿道狭窄是TURP术后常见并发症,术后随访,早期治疗是关键。Objective： To investigate postoperative urethral stricture prevention in the transurethral resection of the prostate（TURP）.Methods：940 patients with benign prostatic hyperplasia（BPH） were recalled and treated by TURP,35 cases with urethral stricture were summarized.Results：From 1 month to 2 years,35 patients with urethral stricture were found.Patients with anterior urethral stricture was 15 cases,posterior urethral stricture was 12 cases,bladder neck contracture was 8 cases.35 patients were followed up for 1 to 2 years,with an average of 12 months.18 cases were carried out Simple urethral dilatation,12 cases were cured,six cases of failed incision were changed to internal urethrotomy.Nine cases were carried out urethral dilatation and internal urethrotomy,9 cases were cured.Eight cases with bladder neck contracture were carried out electrocision of bladder neck contracture,8 cases were cured.Conclusions：Urethral stricture is a common complication after TURP,regular follow-up after surgery and early treatment is the key point to cure.

关 键 词：良性前列腺增生 经尿道电切术 尿道狭窄 防止 

分 类 号：R699[医药卫生—泌尿科学]