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目的 :分析前列腺增生术后排尿困难的原因。方法 :对 3 8例前列腺术后仍有排尿障碍的患者进行全套尿动力学检查。结果 :膀胱逼尿肌功能紊乱 1 0例 ,尿道狭窄 9例 ,膀胱出口梗阻 1 8例。结论 :逼尿肌功能紊乱、尿道狭窄是引起术后症状无改善的主要原因。尿动力学检查对术前合理选择病例 ,术后分析症状原因具有重要价值。
Objective: To analyze the causes of dysuria after benign prostatic hyperplasia. Methods: A total of 38 urodynamic tests were performed in 38 patients who had voiding dysfunction after prostate surgery. Results: In detrusor dysfunction of bladder, 10 cases had urethral stricture in 9 cases and bladder outlet obstruction in 18 cases. Conclusion: Detrusor dysfunction and urethral stricture are the main causes of postoperative symptoms. Urodynamic examination of preoperative rational selection of cases, postoperative analysis of the causes of symptoms of great value.