论文部分内容阅读
2000年1月-2003年3月,我们对201例前列腺增生患者行经尿道前列腺切除(TURP)手术治疗,术后发生尿道狭窄42例(20%)。1临床资料1.1一般资料本组42例,年龄56～84岁,平均67岁。其中术前伴前列腺感染8例,尿潴留并留置尿管16例,尿检查示尿路感染24例;中段尿培养阳性6例。术前或术中发现前尿道或尿道外口狭窄6例。经直肠B超检测前列腺均为Ⅱ、Ⅲ度增生。口服保列治、哈乐(或特拉唑嗪)3-5天,伴感染者予敏感抗生素治疗3～6天后手术。1.2方法与结果术中应用Storz26号电切镜,手术时间50-100分钟,术后留置22号三腔乳胶尿管持续冲洗。并牵引尿管1天,牵引重量约200g。膀胱持续冲洗1～5天,平均2.5天。术后4～7天拔除尿管,平均5.4天。术后排尿通畅,尿线较粗,3～8周逐渐出现排尿困难,尿线变细。经行尿道
From January 2000 to March 2003, we treated 201 cases of benign prostatic hyperplasia with transurethral resection of the prostate (TURP), and 42 cases (20%) of urethral stricture occurred. 1 Clinical data 1.1 General Information The group of 42 patients, aged 56 to 84 years, mean 67 years. Including preoperative prostate infection in 8 cases, urinary retention and indwelling catheter in 16 cases, urinalysis showed urinary tract infection in 24 cases; the middle urine culture positive in 6 cases. Preoperative or intraoperative urethral or urethral stenosis found in 6 cases. Transrectal B-ultrasound detection of prostate are Ⅱ, Ⅲ degree hyperplasia. Prostate orally, Harmony (or terazosin) 3-5 days, with infected patients to sensitive antibiotics for 3 to 6 days after surgery. 1.2 Methods and Results Intraoperative application of Storz26 resectoscope, the operation time 50-100 minutes, postoperative stay on the 22th three-chamber latex catheter continuous flushing. And catheter 1 day, traction weight of about 200g. Bladder continued to flush 1 to 5 days, an average of 2.5 days. After 4 to 7 days removal of the catheter, an average of 5.4 days. Postoperative urination patency, thicker urinary tract, 3 to 8 weeks gradually dysuria, urine thinning. Through the urethra