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目的探讨经尿道前列腺切除术(TURP)后患者再入院的原因和治疗方法。方法采用回顾性的临床研究方法,分析2004年5月至2011年3月良性前列腺增生(BPH)患者行TURP后再次入院的比率、原因和治疗方法。结果 1604例前列腺电切术后再入院93例,约占接受手术治疗者的5.8%,平均再入院时间17个月。其中膀胱颈疤痕狭窄18例,行膀胱镜下疤痕切除术;腺体复发42例,行再次TURP术;反复肉眼血尿并急性尿潴留17例,均在膀胱镜下行血块清除术;尿道狭窄16例,11例行尿道镜下冷刀内切开,5例行尿道外口切开术,术后联合定期尿道扩张治愈。结论 BPH患者行TURP后再次入院的比率为5.8%,腺体复发是TURP术后再入院的主要原因。术前准确诊断、合理选择手术方式及术中、术后正确处理是预防TURP术后再次入院的关键。
Objective To investigate the causes and treatment of rehospitalization after transurethral resection of the prostate (TURP). Methods A retrospective clinical study was conducted to analyze the rates, causes and treatment of rehospitalization after TURP in patients with benign prostatic hyperplasia (BPH) from May 2004 to March 2011. Results A total of 1604 patients underwent transurethral resection of the prostate and 93 admitted to the hospital, accounting for 5.8% of those receiving surgery. The average readmission was 17 months. Including bladder neck scar stenosis in 18 cases, underwent cystoscopic scar resection; 42 cases of gland recurrence, repeat TURP surgery; repeated gross hematuria and acute urinary retention in 17 cases were cystoscopic blood clot removal; urethral stricture in 16 cases , 11 cases underwent cold endoscopic urethral incision, 5 cases underwent urethral incision, combined with regular urethral dilatation cure. Conclusions The rate of rehospitalization after TURP in BPH patients is 5.8%. The recurrence of glands is the main reason of rehospitalization after TURP. Preoperative accurate diagnosis, a reasonable choice of surgical methods and intraoperative and postoperative correct treatment is the key to prevent hospitalization after TURP.