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目的分析耻骨上前列腺切除术后排尿困难的原因 ,为防治提供依据。方法回顾性分析 3 2例前列腺增生行耻骨上前列腺切除术后出现排尿困难病例的临床资料。结果 3 2例患者中 ,膀胱颈狭窄 8例 ,膀胱颈后唇过高 7例 ,膀胱窝口缝扎过紧 5例 ,腺体残留 4例 ,尿道狭窄及假道形成 4例 ,膀胱功能障碍 3例 ,前列腺窝异物并结石 1例。结论耻骨上前列腺切除术后排尿困难原因多为手术操作不当及术前术后处理欠佳所致 ,其预防及处理措施应根据不同情况决定。
Objective To analyze the causes of dysuria after suprapubic prostatectomy and provide the basis for prevention and treatment. Methods The clinical data of 32 cases of dysuria after prostatectomy for benign prostatic hyperplasia were retrospectively analyzed. Results Among the 32 patients, there were 8 cases of bladder neck stenosis, 7 cases of excessive posterior lip of bladder neck, 5 cases of tight suture of bladder socket, 4 cases of residual gland, 4 cases of urethral stricture and pseudostraphy, bladder dysfunction 3 cases, prostate fossa foreign body and stone in 1 case. Conclusion The causes of dysuria after suprapubic prostatectomy are mostly due to improper operation and poor preoperative and postoperative management. The prevention and treatment measures should be decided according to different situations.