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为了探讨前列腺增生症术后排尿困难的原因及预防方法,对前列腺切除术后27例仍有排尿困难的临床资料进行了分析。结果显示:尿道狭窄14例,尿道内口闭锁2例,膀胱逼尿肌功能紊乱2例,腺体残留3例,后唇瓣膜2例,输尿管间嵴肥厚1例,后尿道狭窄合并结石1例,膀胱颈水肿,前列腺癌1例。由此可见,尿道狭窄是术后排尿困难的主要原因,小前列腺增生或前列腺增生伴炎症宜采用TURP+膀胱颈内切开治疗以减少尿道狭窄。
In order to explore the causes of postoperative dysuria and prevention of benign prostatic hyperplasia, clinical data of 27 cases with dysuria after prostate resection were analyzed. The results showed: urethral stricture in 14 cases, urethral occlusion in 2 cases, detrusor dysfunction in 2 cases, residual gland in 3 cases, 2 cases of posterior lip valve, ureteral crest hypertrophy in 1 case, posterior urethral stricture with stones in 1 case , Bladder neck edema, prostate cancer in 1 case. Thus, urethral stricture is the main reason for dysuria after surgery, small benign prostatic hyperplasia or benign prostatic hyperplasia with inflammation should be treated with TURP + bladder incision to reduce urethral stricture.