摘要
目的考察并分析影响尿道前列腺电切术后尿道狭窄的因素。方法收集2010年5月—2014年4月在该院行经尿道前列腺电切术(TURP)的患者431例,术后发生尿道狭窄者27例。结果 TURP术后尿道狭窄与术后尿路感染、术前反复使用抗生素、病程、导尿管滞留时间、术前尿道存在炎症、手术时间较长和术中输血较多有关(P<0.05),与年龄、体重指数(BMI)、是否吸烟、是否饮酒和切除的前列腺容积无关(P>0.05)。结论术前需要完善各项检查,控制感染和炎症,充分了解患者的表现,术中需要操作仔细,切除前列腺组织同时避免尿道的损伤,术后需加强导尿无菌操作和合理置管,预防尿道感染,从各个层面减少尿道狭窄的发生。
Objective To investigate and analyze the factors that affect the urethral stricture of benign prostatic hyperplasia（BPH）patients who underwent transurethral resection of prostate（TURP）.MethodsFrom May 2010 to April 2014,431 BPH patients underwent TURP in author＇s hospital were enrolled into the study and divided into two groups according to whether urethral stricture.Among them,404 cases of patients who did not have urethral stricture and 27 cases of patients who had urethral stricture.ResultsThe factors that affected the urethral stricture were urinary tract infection,repeated use of antibiotics before surgery,longer course of disease,duration of catheter retention time,the presence of preoperative urinary tract inflammation,longer operative time and intraoperative blood transfusion（P〈0.05）.Age,body mass index（BMI）,smoking,alcohol consumption and the volume of the prostate were not relevant with urethral stricture.Conclusion In order to reduce the incidence of urethral stricture after TURP,we should pay more attention to the followings：before operation,urinary tract infection and inflammation should be treated,inspection and the general information of patients should also be understood;during operation,doctors need to carefully operate and cut the prostate tissue while avoiding damage;after operation,reasonable aseptic catheterization prevention of urinary tract infections should be strengthened.
出处
《中国煤炭工业医学杂志》
2015年第8期1313-1315,共3页
Chinese Journal of Coal Industry Medicine
关键词
尿道前列腺电切术
尿道狭窄
影响因素
Transurethral resection of prostate
Urethral stricture
Affect factor
