中外医学研究
中外醫學研究
중외의학연구
Chinese and Foreign Medical Research
2015年
28期
17-18
,共2页
经尿道前列腺电切术%排尿困难%原因%治疗
經尿道前列腺電切術%排尿睏難%原因%治療
경뇨도전렬선전절술%배뇨곤난%원인%치료
Transurethral resection of prostate%Difficulty in urination%Cause%Treatment
目的：探讨经尿道前列腺电切术术后排尿困难的原因及防治对策。方法：回顾性分析25例经尿道前列腺电切术排尿困难患者的临床资料，观察其发生原因和治疗结果，探讨避免和减少排尿困难措施。结果：25例排尿困难原因分别为：尿道狭窄17例(68.00%)，膀胱逼尿肌无力或神经源性膀胱尿道功能障碍3例(12.00%)，腺体残留2例(8.00%)，膀胱内血块、组织碎片和结石堵塞尿道2例(8.00%)，膀胱颈挛缩1例(4.00%)。手术治疗19例(76.00%)，随访(8.33±3.09)个月，排尿困难的症状均消失或明显改善，最大尿流率为(19.98±7.34)ml/s，残余尿量为(39.87±18.45)ml；非手术药物治疗者6例(24.00%)，全部为神经源性膀胱尿道功能障碍者，治疗3个月2例排尿困难缓解，其余4例仍存在排尿困难行耻骨上膀胱穿刺造瘘术。结论：导致前列腺电切术术后排尿困难原因多种多样，应根据不同原因实施相应治疗，同时通过实施针对性预防措施预防排尿困难的发生。
目的：探討經尿道前列腺電切術術後排尿睏難的原因及防治對策。方法：迴顧性分析25例經尿道前列腺電切術排尿睏難患者的臨床資料，觀察其髮生原因和治療結果，探討避免和減少排尿睏難措施。結果：25例排尿睏難原因分彆為：尿道狹窄17例(68.00%)，膀胱逼尿肌無力或神經源性膀胱尿道功能障礙3例(12.00%)，腺體殘留2例(8.00%)，膀胱內血塊、組織碎片和結石堵塞尿道2例(8.00%)，膀胱頸攣縮1例(4.00%)。手術治療19例(76.00%)，隨訪(8.33±3.09)箇月，排尿睏難的癥狀均消失或明顯改善，最大尿流率為(19.98±7.34)ml/s，殘餘尿量為(39.87±18.45)ml；非手術藥物治療者6例(24.00%)，全部為神經源性膀胱尿道功能障礙者，治療3箇月2例排尿睏難緩解，其餘4例仍存在排尿睏難行恥骨上膀胱穿刺造瘺術。結論：導緻前列腺電切術術後排尿睏難原因多種多樣，應根據不同原因實施相應治療，同時通過實施針對性預防措施預防排尿睏難的髮生。
목적：탐토경뇨도전렬선전절술술후배뇨곤난적원인급방치대책。방법：회고성분석25례경뇨도전렬선전절술배뇨곤난환자적림상자료，관찰기발생원인화치료결과，탐토피면화감소배뇨곤난조시。결과：25례배뇨곤난원인분별위：뇨도협착17례(68.00%)，방광핍뇨기무력혹신경원성방광뇨도공능장애3례(12.00%)，선체잔류2례(8.00%)，방광내혈괴、조직쇄편화결석도새뇨도2례(8.00%)，방광경련축1례(4.00%)。수술치료19례(76.00%)，수방(8.33±3.09)개월，배뇨곤난적증상균소실혹명현개선，최대뇨류솔위(19.98±7.34)ml/s，잔여뇨량위(39.87±18.45)ml；비수술약물치료자6례(24.00%)，전부위신경원성방광뇨도공능장애자，치료3개월2례배뇨곤난완해，기여4례잉존재배뇨곤난행치골상방광천자조루술。결론：도치전렬선전절술술후배뇨곤난원인다충다양，응근거불동원인실시상응치료，동시통과실시침대성예방조시예방배뇨곤난적발생。
Objective:To investigate the causes and preventive measures of postoperative urination difficulty after transurethral resection of prostate.Method:The clinical data of 25 patients with transurethral resection of prostate were retrospectively analyzed,and the causes and treatment of patients were observed.Result:25 cases of difficulty of urination were reasons were:urethral stricture in 17 cases (68.00%),bladder detrusor muscle weakness or neurogenic bladder urethra dysfunction in 3 cases(12.00%),glandular residue in 2 cases(8.00%),bladder clot and tissue debris and calculus obstruction of the urethra in 2 cases(8.00%),bladder neck contracture in 1 case(4.00%).Surgical treatment of 19 cases(76.00%),follow-up (8.33±3.09) months,the symptoms were disappeared or significantly improved,the maximum urinary flow rate was (19.98±7.34)ml/s,residual urine volume was (39.87±18.45)ml.6 cases(24.00%) of non surgical treatment,2 cases of neurogenic bladder urethral dysfunction,and the remaining 4 cases were still difficult to treat.Conclusion:The reasons for the difficulty of urination after transurethral resection of prostate are complex,according to different reasons,the effect of the corresponding treatment is satisfactory,and the implementation of targeted prevention measures to reduce the occurrence of difficulty of urination.
