前列腺电切术后排尿困难的成因及对策

目的：研究良性前列腺增生电切术后排尿困难的形成原因及治疗方法，探讨更好的预防手术并发症的发生和选择最佳治疗对策。方法：对356例良性前列腺增生电切术后发生排尿困难的患者15例进行总结分析。根据排尿困难的原因及部位，分别行尿道扩张、冷刀切开、电切镜治疗。结果：所有患者的排尿困难症状均有明显改善或完全消失，无尿失禁等严重并发症。结论：术前认真评估、掌握手术方法及技巧、术中细致观察，是防止手术后出现排尿困难的有效方法。尿道扩张和经尿道手术仍是治疗术后尿道狭窄的主要手段，大多数患者疗效满意。patients，with dysuria after transurethral resection was summarized and analyzed．They were separately given treat-ment of urethral dilatation，cold incision，transurethral resection endoscopy according to different positions and cau-ses of dysuria．Results：Symptoms of the 15 patients with dysuria all obviously alleviated or disappeared，with no severe complications such as uracratia．Conclusions：Earnest evaluation before operation，managing operative methods and skills and careful observation in the operation are the effective ways to prevent dysuria after operation．Urethral dilatation and transurethral resection are the main therapeutic methods for urethrostenosis with satisfied curative effects in most patients．