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目的:探讨经尿道前列腺切除术后再次排尿困难的原因及处理措施。方法:回顾分析181例经尿道前列腺切除术后再次排尿困难的15例患者临床资料。结果:本组15例尿道狭窄6例、膀胱逼尿肌功能障碍2例、继发出血2例、再发前列腺癌3例、腺体残留2例。结论:尿道狭窄、膀胱逼尿肌功能障碍、继发出血、腺体残留是发生前列腺电切术后排尿困难的主要原因,术前行尿流动力学检查、精细的手术操作、术中仔细止血,可以减少术后排尿困难的发生。
Objective: To investigate the causes of dysuria after transurethral resection of prostate and its treatment measures. Methods: The clinical data of 15 patients with dysuria after transurethral resection of prostate were retrospectively analyzed. Results: In this group, urethral stricture in 6 cases, detrusor muscle dysfunction in 2 cases, secondary hemorrhage in 2 cases, recurrent prostate cancer in 3 cases and residual gland in 2 cases. Conclusions: Urethral stricture, detrusor dysfunction, secondary hemorrhage and residual gland are the main causes of dysuria after prostatectomy. Preoperative urodynamic examination, fine operation, careful intraoperative hemostasis, Can reduce the incidence of dysuria after surgery.