CAJ | 학술논문

目的：探讨经尿道前列腺电切( TURP)术后尿道狭窄的防治。方法：回顾TURP治疗良性前列腺增生(BPH)患者940例,对术后出现35例尿道狭窄进行总结。结果：940例患者,术后1月～2年发生尿道狭窄35例。前尿道狭窄15例,后尿道狭窄12例,膀胱颈挛缩8例。35例随访1月～2年,平均12个月。单纯尿道扩张术18例,12例完全治愈,6例改行尿道内切开术；尿道内切开加尿道扩张术9例完全治愈,膀胱颈部挛缩者8例,行膀胱颈部挛缩电切术均治愈。结论：尿道狭窄是TURP术后常见并发症,术后随访,早期治疗是关键。
목적：탐토경뇨도전렬선전절( TURP)술후뇨도협착적방치。방법：회고TURP치료량성전렬선증생(BPH)환자940례,대술후출현35례뇨도협착진행총결。결과：940례환자,술후1월～2년발생뇨도협착35례。전뇨도협착15례,후뇨도협착12례,방광경련축8례。35례수방1월～2년,평균12개월。단순뇨도확장술18례,12례완전치유,6례개행뇨도내절개술；뇨도내절개가뇨도확장술9례완전치유,방광경부련축자8례,행방광경부련축전절술균치유。결론：뇨도협착시TURP술후상견병발증,술후수방,조기치료시관건。
Objective:To investigate postoperative urethral stricture prevention in the transurethral resection of the prostate (TURP). Methods:940 patients with benign prostatic hyperplasia (BPH) were recalled and treated by TURP,35 cases with urethral stricture were summarized.Results:From 1 month to 2 years,35 patients with urethral stricture were found.Patients with anterior urethral stricture was 15 cases,posterior urethral stricture was 12 cases,bladder neck contracture was 8 cases.35 patients were followed up for 1 to 2 years,with an average of 12 months.18 cases were carried out Simple urethral dilatation,12 cases were cured, six cases of failed incision were changed to internal urethrotomy.Nine cases were carried out urethral dilatation and internal urethrotomy,9 cases were cured.Eight cases with bladder neck contracture were carried out electrocision of bladder neck contracture,8 cases were cured.Conclusions:Urethral stricture is a common complication after TURP, regular follow-up after surgery and early treatment is the key point to cure.