经尿道前列腺汽化电切术后尿道狭窄22例临床分析

摘要

目的 探讨经尿道前列腺汽化电切术(TUVP)后尿道狭窄的发生原因及防治措施.方法 回顾性分析22例TUVP后尿道狭窄患者的临床资料.结果 行单纯尿道扩张术6例,尿道外口切开术2例,尿道内切开术+尿道扩张术6例,尿道内切开术+电切术6例,均治愈;2例拒绝治疗.治愈率90.9%(20/22),随访3个月以上,均排尿通畅.结论 TUVP术后发生尿道狭窄有多种原因,术中仔细止血、术后加强护理、控制尿路感染等可预防TUVP后尿道狭窄的发生;综合治疗可提高治愈率.%Objective To analyze the causes and therapy of urethral stricture after transurethral vapo-resection of prostate(TUVP).Methods Three hundred and sixty-eight benign prostatics hyperplasia cases treatedwith TUVP were reviewed. Among them,urethral stricture occurred in 22 cases.Results six of the 22 casesunderwent conventional dilation,2 cases had meatotomy and 6 cases underwent internal urethrotomy pluselectrocision.20 cases(90.9%)were cured.All 22 patients were followed up for more than 3 months and all hadnormal urination.Conclusion Causes of urethral stricture after TUVP can be complicated.Carefull hemostasisduring opration,enhancing catheter drainage management after surgery and urinary tract infection control mayprevent urethral stricture after TUVP,meanwhile,the combined therapies could improve cure rate of thiscomplication.