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目的 :探讨前列腺切除术后症状无改善的原因。方法 :对前列腺切除术后 43例症状无改善患者的临床资料进行分析。结果 :膀胱逼尿肌功能紊乱 1 9例 ,尿道狭窄 1 4例 ,腺体残留 7例 ,膀胱结石 3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。尿流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。小体积前列腺增生或前列腺增生伴有慢性炎症者 ,宜采用经尿道前列腺电切术治疗 ,以减少术后尿道狭窄的发生。
Objective: To investigate the causes of no improvement of symptoms after prostatectomy. Methods: The clinical data of 43 patients who had no improvement of symptoms after prostatectomy were analyzed. Results: 19 cases of bladder detrusor dysfunction, 14 cases of urethral stricture, 7 cases of residual gland and 3 cases of bladder stone. Conclusion: Detrusor dysfunction and urethral stricture are the main causes of postoperative symptoms. Urodynamic examination of the preoperative rational selection of cases, postoperative analysis of the causes of symptoms of great value. Small size of benign prostatic hyperplasia or benign prostatic hyperplasia with chronic inflammation, transurethral resection of the prostate should be used to reduce the incidence of postoperative urethral stricture.