CAJ | 학술논문

目的：分析并探讨经尿道前列腺电切术(TURP )后发生尿道狭窄的原因和防治措施.方法：收集资料完整的 TURP 术后尿道狭窄患者28例,术中膀胱镜检查排除尿道狭窄,术后因排尿困难,经尿道造影或尿道镜检查确诊为尿道狭窄.2例(7.1％)狭窄位于尿道外口,5例(17.9％)位于尿道海绵体部,8例(28.6％)位于球膜部,12例(42.9％)位于前列腺部,1例(3.6％)位于膀胱颈部.28例中,22例行定期尿道扩张术治疗,5例行尿道内切开术治疗,1例行尿道外口成形术.结果：28例患者平均随访时间14.6个月(12~24个月).所有患者接受治疗后均可排尿通畅.结论：尿道狭窄为 TURP 术后常见并发症,感染、留置导尿、术中损伤是最主要的危险因素,积极预防、术后定期密切随访和早期进行尿扩治疗是治疗的关键.
목적：분석병탐토경뇨도전렬선전절술(TURP )후발생뇨도협착적원인화방치조시.방법：수집자료완정적 TURP 술후뇨도협착환자28례,술중방광경검사배제뇨도협착,술후인배뇨곤난,경뇨도조영혹뇨도경검사학진위뇨도협착.2례(7.1％)협착위우뇨도외구,5례(17.9％)위우뇨도해면체부,8례(28.6％)위우구막부,12례(42.9％)위우전렬선부,1례(3.6％)위우방광경부.28례중,22례행정기뇨도확장술치료,5례행뇨도내절개술치료,1례행뇨도외구성형술.결과：28례환자평균수방시간14.6개월(12~24개월).소유환자접수치료후균가배뇨통창.결론：뇨도협착위 TURP 술후상견병발증,감염、류치도뇨、술중손상시최주요적위험인소,적겁예방、술후정기밀절수방화조기진행뇨확치료시치료적관건.
To analyze and explore the reasons and prevention of urethral stricture following transurethral re-section of prostate (TURP ).Methods :The clinical data of 28 cases of urethral stricture following TURP were collected .The urethral stricture was excl uded by cystoscopy before TURP in all cases .After the operation dysuria occurred and urethral stricture was diagnosed by transurethral angiography or uri nary tract endoscopy .Of the 28 cases ,there were 2 (7.1 %)ca-ses of external orifice strictures ,5 (17.9 %)cases of corpus spongiosu m depart ment strictures ,8 (28.6 %)cases of ball me mbrane depart ment strictures ,12 (42.9 %)cases of prostate strictures ,1 (3.6 %)case of the bladder neck strictures . Twenty-two patients were subjected to conventional urethral dilation ,5 patients to urethral i ncision operation ,and 1 patient to urethral mouth plasty .Results :After average follo w- up period of 14.6 months (12-24 months ),all the patients had no difficulties invoiding .Conclusions :Urethral stricture is a common complication following TURP .Uri nary i nfection ,urethral catheterization and trau ma are the most important risk factors .Prevention ,closely regular follo w- up ,and early intervention play crucial roles in the manage ment of TURP .