前列腺增生术后排尿困难原因及治疗  

Causes and treatment of dysuria after prostatectomy in benign prostatic hyperplasia patients

作　　者：李景勤[1] 陈建中[1] 裴继云[1] 张金平[1] 邓军[1] 孙发林[1] 

机构地区：[1]解放军第四○一医院,山东青岛266071

出　　处：《海军医学杂志》2004年第1期36-38,共3页Journal of Navy Medicine

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 15例耻骨上前列腺切除术后出现排尿困难的临床资料。结果 :15例耻骨上前列腺切除术后排尿困难病例中 ,膀胱颈梗阻 11例 ,尿道外口狭窄、腺体残留各 1例 ,后尿道炎性粘连狭窄 2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。多数患者可经尿道扩张或腔内手术治愈。Objective: To study the causes of postoperative dysuria in patients with benign prostatic hypertrophy(BPH). Methods: Fifteen patients complained of postoperative dysuria after operation for treatment of BPH. Clinical data were analyzed retrospectively. Results: In the 15 patients who complained of postoperative dysuria after prostatectomy for the treatment of BPH, 11 had bladder neck obstruction, 1 urethral meatus stricture, 1 residual gland, and 2 inflammatory prosterior urethral stricture. Conclusion: Bladder neck obstruction is the major cause of dysuria after prostatectomy for the treatment of BPH. Almost all the patients can be cured by dilation or transurethral resection.

关 键 词：前列腺肥大 前列腺切除术 排尿困难 

分 类 号：R699.8[医药卫生—泌尿科学]