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目的:对前列腺电切汽化术后期排尿困难的原因以及应对策略进行分析探讨,为今后的临床诊治工作提供可靠的参考依据。方法:选取在2013年1月-2014年6月丰都县人民医院收治的接受前列腺电切汽化术治疗的患者96例作为研究对象展开临床研究。结果:本组96例患者中术后排尿困难者32例,其中尿道狭窄10例、膀胱功能异常以及逼尿肌无力7例、腺体组织残留6例、膀胱挛缩3例、尿道水肿和感染各2例、碎组织条和血块堵塞各1例。经相应治疗后全部治愈。结论:造成前列腺电切汽化术后期排尿困难的原因较多,临床应引起重视,严格执行手术操作,改善临床治疗效果,减少并发症的发生。
Objective: To analyze and discuss the causes of dysuria and its coping strategies in the post-operative prostatectomy, and to provide a reliable reference for future clinical diagnosis and treatment. Methods: A total of 96 patients undergoing transurethral electrovaporization in Fengdu County People’s Hospital from January 2013 to June 2014 were enrolled in this study. Results: Among the 96 patients, 32 patients had dysuria after operation, including 10 cases of urethral stricture, 7 cases of abnormal bladder function and detrusor muscle weakness, 6 cases of residual glandular tissue, 3 cases of bladder contracture, urethral edema and infection 2 cases, broken tissue strips and clots in 1 case. After the corresponding treatment of all cured. Conclusion: There are many reasons for dysuria in the late stage of electrosurgical resection of prostate, which should be paid more attention in clinical practice. Strict operation should be performed to improve the clinical effect and reduce the incidence of complications.