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目的:探讨良性前列腺增生(benignprostatic hyperplasia,BPH)患者术后排尿困难的危险因素及处理方法。方法:选择我院收治的348例良性前列腺增生行手术治疗的患者进行研究,其中发生术后排尿困难患者共46例,搜集相关资料,对术后发生排尿困难的可能危险因素进行logistic回归分析。结果:尿路感染、膀胱功能障碍、膀胱内血块、组织碎片及结石、膀胱颈挛缩、尿道狭窄是前列腺术后排尿困难的危险因素(P<0.05)。结论:术前行尿流动力学检查,控制感染和出血,操作精细、清除彻底及必要的手术和药物是解决BPH术后排尿困难的重要措施。
Objective: To investigate the risk factors and treatment of dysuria after benign prostatic hyperplasia (BPH). METHODS: A total of 348 patients with benign prostatic hyperplasia underwent surgical resection in our hospital. 46 cases of postoperative dysuria patients were collected. Relevant data were collected to analyze the possible risk factors of postoperative dysuria by logistic regression analysis. Results: Urinary tract infection, bladder dysfunction, intravesical blood clots, tissue fragments and stones, bladder neck contracture and urethral stricture were the risk factors of dysuria after prostatic surgery (P <0.05). Conclusions: Preoperative urodynamic examination, infection control and hemorrhage, fine operation and complete and necessary surgical and drug clearance are important measures to solve the dysuria after BPH.