论文部分内容阅读
为研究前列腺摘除术后膀胱出口梗阻的原因、预防措施及处理方法,对前列腺摘除术后膀胱出口梗阻18例(其中行耻骨上前列腺摘除术后14例,经尿道前列腺摘除术后4例)进行临床分析,梗阻原因有膀胱颈后唇抬高6例,膀胱颈前唇缩窄4例,膀胱颈环行缩窄6例,膀胱颈、后尿道闭锁2例。所有患者均施行了经尿道电切术或开放性手术治疗,结果均完全治愈。认为前列腺摘除术后膀胱出口梗阻与前列腺增生合并膀胱颈挛缩未同时处理、手术时膀胱颈处理不当及前列腺外科包膜损伤等因素有关,其预防措施及处理方法应根据不同情况而决定。
In order to study the causes, preventive measures and treatment of bladder outlet obstruction after prostatectomy, 18 cases of bladder outlet obstruction after prostatectomy (including 14 cases after prostate suprapubic prostatectomy and 4 cases after transurethral prostatectomy) Clinical analysis, obstruction due to bladder neck posterior lip elevation in 6 cases, 4 cases of bladder neck anterior lip narrowing, 6 cases of bladder neck ring narrowing, bladder neck, posterior urethral atresia in 2 cases. All patients underwent transurethral resection or open surgery, the results were completely cured. It is considered that the outlet obstruction of the bladder after prostatectomy is not related to the simultaneous treatment of benign prostatic hyperplasia with bladder neck contracture, improper treatment of the bladder neck during surgery and the surgical implants of the prostate. The preventive measures and treatment methods should be decided according to different situations.