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目的分析经尿道前列腺电切术(transurethral resection of the prostate,TURP)后尿频的原因,为临床诊治疗提供参考。方法84例以尿频为主要症状就诊的前列腺增生症(BPH)行TURP术后1个月的患者,采用尿常规、尿道膀胱镜、尿流动力学等检查手段,查找其术后尿频的原因,并根据具体原因采取治疗,随访至尿频症状消失。结果手术可有效解除BPH患者膀胱出口梗阻,部分患者因术后相关并发症使尿频改善不理想,其中单纯泌尿系感染22例(26.2),尿道外口狭窄9例(10.7),尿道狭窄12例(14.3),逼尿肌不稳定29例(34.5),膀胱颈纤维化3例(3.6),不明原因尿频9例(10.7)。根据病因采取相应的治疗措施,能获得较为理想的效果。结论TURP术后尿频的原因是多方面的,术前需向患者交代清楚;诊治过程中应该加以全面考虑,对因治疗是关键。
Objective To analyze the causes of urinary frequency after transurethral resection of the prostate (TURP) and provide reference for clinical diagnosis and treatment. Methods Eighty-four patients with benign prostatic hyperplasia (BPH) treated at the first symptom of urinary frequency and one month after TURP were enrolled. Urine routine examination, urethral cystoscopy and urodynamics were used to find the causes of postoperative urinary frequency. According to the specific reasons to take treatment, follow-up to disappear urinary frequency symptoms. Results Surgery could effectively relieve bladder outlet obstruction in patients with BPH. Some patients had unsatisfactory improvement of urinary frequency due to postoperative complications. Twenty-two cases (26.2) had urinary tract infection alone, 9 cases (10.7) had urethral stricture, and 12 cases had urethral stricture (14.3), detrusor instability in 29 cases (34.5), bladder neck fibrosis in 3 cases (3.6), and unexplained urinary frequency in 9 cases (10.7). According to the cause to take the appropriate treatment, can get a more satisfactory results. Conclusions The causes of urinary frequency after TURP are multifaceted and need to be clearly explained to the patients before surgery. The diagnosis and treatment should be fully considered, which is the key to treatment.