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目的:分析并探究前列腺增生患者经手术治疗后出现排尿困难的原因及处理措施。方法:对我院收治的25例经前列腺增生症术后,出现排尿困难症状患者的临床资料进行回顾性分析。结果:16例行TURP术后出现排尿困难的患者中,8例为腺体残留,3例尿道狭窄,膀胱颈水肿与前列腺出血各2例,逼尿肌收缩力减弱1例;9例行TVP术的患者中,3例为尿道狭窄,2例膀胱结石,2例腺体残留,前列腺出血与膀胱颈挛缩各1例。所有患者经对症治疗均得到有效恢复。结论:经TURP与TVP术后,由于各种因素影响,患者出现排尿困难症状。其中,TURP术后排尿困难的主要原因即为腺体残留。为有效预防前列腺增生症术后,患者发生排尿困难的症状,医护人员应当做好术前准备、术中术后正确处理工作。
Objective: To analyze and explore the causes of dysuria after surgical treatment of benign prostatic hyperplasia patients and its treatment measures. Methods: The clinical data of 25 patients with dysuria after operation of benign prostatic hyperplasia treated in our hospital were analyzed retrospectively. Results: Of the 16 patients with dysuria after TURP, 8 were glandular remnant, 3 had urethral stricture, 2 had bladder neck edema and prostatic hemorrhage, 1 had detrusor contractility, and 9 had TVP Among the patients, 3 had urethral stricture, 2 had bladder stones, 2 had residual glands, and 1 had prostate bleeding and bladder neck contracture. All patients by symptomatic treatment have been effectively restored. Conclusion: After TURP and TVP surgery, due to various factors, patients with dysuria symptoms. Among them, the main reason for dysuria after TURP is residual glands. In order to effectively prevent the symptoms of dysuria after the operation of benign prostatic hyperplasia, the medical staff should make the preoperative preparation and correct the postoperative operation.