摘要
目的探讨经尿道前列腺等离子电切术(PKRP)后发生尿道狭窄的原因及防治措施。方法回顾性分析行PKRP的863例患者的临床资料及术后随访资料。结果863例患者中发生尿道狭窄37例,发生率为4.29%;尿道外口狭窄14例,反复尿扩后症状消失;尿道球部狭窄2例,经尿道冷刀切开后梗阻解除,其中1例再次复发尿道闭锁后行开放成行术,术后定期扩张尿道2年后排尿通畅;前列腺尖部狭窄11例,膀胱颈部挛缩狭窄10例,重新给予电切治疗后治愈。结论尿道狭窄为PKRP术后常见的并发症之一,积极消除术前、术中、术后尿道狭窄的危险因素可有效防治PKRP术后尿道狭窄。
Objective To evaluate the treatment and prevention of urethral stricture after plasmakinetic transurethral resection of prostate（PKRP）.Methods Retrospectively analysis of our hospital and Zhejiang University of Medicine Department of Urology in first Affiliated Hospital from February 2002 to February 2006 trip PKRP of 863 cases with clinical data and postoperative following up data.Results Of 863 patients who underwent PKRP,37 cases suffered from urethral stricture,the rate of incidence was 4.29%.Urethral stenosis in 14 cases,repeated urinary symptoms disappeared after the expansion.Bulbar urethral stricture in 2 cases,by transurethral resection of the cold cut the obstruction,and one of the urethral atresia relapse once again,and take place after the open surgery.Postoperative urethral regular extension for 2 years keeped the voiding patency.Prostate apex 11 cases of stenosis,bladder neck contracture in 10 cases of stenosis,rewarded to the electricity cut cured after treatment.Conclusion Urethral stricture is common postoperative complications of PKBP,active perioperative period management on related risk factors can prevent and treat effectively the post／｜operative urethral stricture.
出处
《中国临床保健杂志》
CAS
2010年第2期169-170,共2页
Chinese Journal of Clinical Healthcare
关键词
前列腺增生
经尿道前列腺切除术/副作用
尿道狭窄
Prostatic hyperplasis
Transurethral resection of prostate/adverse effects
Urethral stricture
