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经尿道前列腺电切术术后排尿困难原因分析及治疗探讨

吴泽明 朱应祥 孙波

中外医学研究Issue(28):17-18,2.
中外医学研究Issue(28):17-18,2.DOI:10.14033/j.cnki.cfmr.2015.28.008

经尿道前列腺电切术术后排尿困难原因分析及治疗探讨

Cause Analysis and Treatment of Urination Difficulty after Transurethral Resection of Prostate

吴泽明 1朱应祥 1孙波1

作者信息

  • 1. 苏州市高新区人民医院 江苏 苏州 215129
  • 折叠

摘要

Abstract

Objective:To investigate the causes and preventive measures of postoperative urination difficulty after transurethral resection of prostate.Method:The clinical data of 25 patients with transurethral resection of prostate were retrospectively analyzed,and the causes and treatment of patients were observed.Result:25 cases of difficulty of urination were reasons were:urethral stricture in 17 cases (68.00%),bladder detrusor muscle weakness or neurogenic bladder urethra dysfunction in 3 cases(12.00%),glandular residue in 2 cases(8.00%),bladder clot and tissue debris and calculus obstruction of the urethra in 2 cases(8.00%),bladder neck contracture in 1 case(4.00%).Surgical treatment of 19 cases(76.00%),follow-up (8.33±3.09) months,the symptoms were disappeared or significantly improved,the maximum urinary flow rate was (19.98±7.34)ml/s,residual urine volume was (39.87±18.45)ml.6 cases(24.00%) of non surgical treatment,2 cases of neurogenic bladder urethral dysfunction,and the remaining 4 cases were still difficult to treat.Conclusion:The reasons for the difficulty of urination after transurethral resection of prostate are complex,according to different reasons,the effect of the corresponding treatment is satisfactory,and the implementation of targeted prevention measures to reduce the occurrence of difficulty of urination.

关键词

经尿道前列腺电切术/排尿困难/原因/治疗

Key words

Transurethral resection of prostate/Difficulty in urination/Cause/Treatment

分类

医药卫生

引用本文复制引用

吴泽明,朱应祥,孙波..经尿道前列腺电切术术后排尿困难原因分析及治疗探讨[J].中外医学研究,2015,(28):17-18,2.

中外医学研究

1674-6805

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