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目的探讨前列腺电气化切除术后尿道狭窄预防及治疗措施。方法 2005年8月至2009年6月,共进行经尿道前列腺电气化切除术(TURVP)369例,随访分析其术后尿道狭窄的发生率及其治疗情况。结果368例完成TURVP手术,1例改为开放耻骨上经膀胱前列腺摘除。在随访的301例患者中,共发生尿道狭窄和膀胱颈部挛缩1 7例(5.65%),其中7例采用尿道扩张,3例尿道内冷刀切开,7例经尿道电切术,无开放手术,治疗效果良好。结论 TURVP术后尿道狭窄,经过尿道扩张或经尿道内冷刀切开或电切治疗,效果及预后均良好。需早发现,早处理,避免病情复杂化,减少开放手术可能性。
Objective To investigate the prevention and treatment of urethral stricture after electrosurgical prostatic resection. Methods From August 2005 to June 2009, 369 cases of transurethral electrostatical prostatectomy (TURVP) were performed. The incidence of postoperative urethral stricture and its treatment were analyzed. Results TURVP was performed in 368 cases and in 1 case to open suprapubic transvesical prostatectomy. Among the 301 patients who were followed up, 17 cases (5.65%) had urethral stricture and bladder neck contracture, of which 7 cases were treated with urethral dilatation, 3 cases with urethral cold knife incision, 7 cases with transurethral resection of the urethra, and none Open surgery, the treatment effect is good. Conclusion TURVP urethral stricture, after urethral dilation or transurethral cold knife incision or electrotomy, the effect and prognosis are good. Early detection, early treatment, to avoid complications, reduce the possibility of open surgery.