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目的探讨经尿道Revo Lix 2μm激光前列腺汽化切除术后需再次入院治疗的原因。方法回顾性分析2011年6月至2014年6月本院收治的经尿道2μm激光前列腺汽化切除术后再入院患者的临床资料。结果 317例接受经尿道2μm激光前列腺汽化切除术患者再次入院16例。再入院原因按发生例数依次排列如下:血尿8例,膀胱颈挛缩3例,前列腺癌2例,前尿道狭窄、泌尿系感染和急性附睾炎各1例。给予相应处理后均顺利出院。结论继发出血及膀胱颈挛缩是经2μm激光前列腺汽化切除术后再入院的主要原因,需注意围术期管理及术后随访,根据病情变化及时给予相应处理。
Objective To investigate the reasons of transurethral Revo Lix 2μm laser prostatectomy after reoperation. Methods Retrospective analysis of clinical data of transseptal transurethral resection of transurethral resection of the prostate from June 2011 to June 2014 in our hospital. Results A total of 317 patients undergoing transurethral vaporization of the prostate via 2 μm laser were re-admitted to hospital. The reasons for admission were listed as follows: hematuria in 8 cases, bladder neck contracture in 3 cases, prostate cancer in 2 cases, anterior urethral stricture, urinary tract infection and acute epididymitis in 1 case. After appropriate treatment were discharged smoothly. Conclusions Secondary hemorrhage and bladder neck contracture are the main reasons of 2 h laser vaporization resection after prostatectomy. Perioperative management and postoperative follow-up should be paid attention to, and appropriate treatment should be given in time according to the changes of the disease.