经尿道前列腺电切术术后尿道狭窄高危因素分析及预防对策  

Analysis of High-risk Factors of Urethral Stricture after Transurethral Resection of the Prostate and Preventive Measures

作　　者：范启腾 唐咸军 辛恩平 FAN Qi-teng;TANG Xian-jun;XIN En-ping(Urinary Surgery Department,Dekang Hospital,Heyuan,Guangdong,517000,China)

机构地区：[1]河源德康医院泌尿外科,广东河源517000

出　　处：《黑龙江医学》2022年第7期814-815,817,共3页Heilongjiang Medical Journal

摘　　要：目的:分析经尿道前列腺电切术(TURP)治疗患者术后发生尿道狭窄的高危因素,探讨预防对策。方法:选取2018年3月—2020年12月河源德康医院行经尿道前列腺切术后6个月内发生尿道狭窄的39例患者作为研究对象,设为观察组。另选取同期行金尿道前列腺电切术治疗术后6个月未出现尿道狭窄的39例患者为对照组。比较两组患者的一般资料、疾病情况及治疗相关资料,分析可能影响患者术后尿道狭窄的高危因素,探讨预防对策。结果:观察组术前尿白细胞计数、手术时长、术后住院时间、术后留置尿管时间高于对照组。经logistic分析显示,术前尿白细胞计数偏高、术后留置尿管时间长可能是术后尿道狭窄的高危因素。结论:经尿道前列腺电切术患者术后发生尿道狭窄风险较高,可能导致尿道狭窄高危因素以术前炎症程度及术后留置尿管时间长有关,临床应做好术前患者抗炎抗感染监测及治疗,术后采取综合措施降低尿管留置时间,降低尿道狭窄率,提高患者预后质量。Objective:To analyze the high risk factors of urethral stricture after transurethral resection of prostate(TURP)and explore the preventive measures.Methods:39 patients with urethral stricture within 6 months after transurethral resection of prostate in the hospital from March 2018 to December 2020 were selected as the research objects and set as the observation group.Another 39 patients who did not have urethral stricture 6 months after operation were selected as control group.The general information,disease condition and treatment related data of the two groups were compared,and the risk factors of postoperative urethral stricture were analyzed,and the preventive measures were discussed.Results:The preoperative white blood cell(WBC)count,operation time,postoperative hospital stay and indwelling catheter time in the observation group were higher than those in the control group.Multivariate logistic analysis showed that the high preoperative WBC count and long postoperative indwelling catheter time might be the high risk factors for postoperative urethral stricture.Conclusion:The risk of urethral stricture in patients with transurethral resection of prostate is high.The high risk factors of urethral stricture are related to the degree of inflammation before operation and the long time of indwelling catheter after operation.The anti-inflammatory and anti infection before operation should be monitored and treated,and comprehensive measures should be taken to reduce the indwelling time of urinary catheter,reduce the rate of urethral stricture and improve the prognosis quality of patients.

关 键 词：经尿道前列腺电切术 术后尿道狭窄 高危因素 预防对策 

分 类 号：R69[医药卫生—泌尿科学]