论文部分内容阅读
经尿道前列腺切除术（ＴＵＲＰ术）目前已成为治疗前列腺增生最常选用的手术方法之一，术后可因并发尿道狭窄、膀胱颈挛缩等致排尿困难、本文对术后发生排尿困难６例进行分析，认为最常见的原因有：①尿道狭窄；②膀胱颈挛缩；③膀胱颈、尿道局部组织炎性水肿；④前列腺尖部组织残留。笔者体会在防治方面：①减少腔内机械性损伤及电烧伤；②熟练的ＴＵＲＰ操作技术；③尿管的正例选择和使用；④对于尿道狭窄又膀胱颈挛缩的治疗均应首选尿道扩张，无效或失败者再行内切开术。⑤膀胱颈、尿道局部组织水肿致排尿困难者，应行膀胱穿刺置管造瘘持续进行膀胱引流，并加强抗感染治疗。前列腺尖部组织残留者，则需再次行ＴＵＲＰ术，彻底清除残留组织。
Transurethral resection of the prostate (TURP) has now become the treatment of benign prostatic hyperplasia is one of the most commonly used surgical methods, postoperative complications such as urethral stricture, bladder neck contracture caused by dysuria, this article in 6 cases of dysuria occurred Analysis, that the most common reasons are: ① urethral stricture; ② bladder neck contracture; ③ bladder neck, urinary tract inflammation of the local tissue edema; ④ prostate apex tissue residue. I understand the prevention and treatment aspects: ① reduce intracavitary mechanical injury and electric burn; ② skilled TURP operating techniques; ③ positive selection and use of the catheter; ④ urethral stricture and bladder neck contracture treatment should be the preferred choice of urethral dilatation, Invalid or unsuccessful incision. ⑤ bladder neck, urinary tract edema caused by local tissue dysuria, urinary bladder catheterization fistula should be continued drainage of the bladder, and strengthen anti-infective treatment. Prostatic apex tissue residual persons, you need to re-TURP surgery, the complete removal of residual tissue.