[1]李新,宋思吉,蒋涛,等.TURP术后尿道狭窄临床分析及对策研究[J].第三军医大学学报,2013,35(15):1596-1598.
 Li Xin,Song Siji,Jiang Tao,et al.Clinical analysis and countermeasure for post-transurethral resection of prostate urethral stricture[J].J Third Mil Med Univ,2013,35(15):1596-1598.
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TURP术后尿道狭窄临床分析及对策研究(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
35卷
期数:
2013年第15期
页码:
1596-1598
栏目:
论著
出版日期:
2013-08-15

文章信息/Info

Title:
Clinical analysis and countermeasure for post-transurethral resection of prostate urethral stricture
作者:
李新宋思吉蒋涛卢根生熊恩庆金锡御宋波周占松
成都军区昆明总医院泌尿外科;第三军医大学西南医院全军泌尿外科研究所
Author(s):
Li Xin Song Siji Jiang Tao Lu Gensheng Xiong Enqing Jin Xiyu Song Bo Zhou Zhansong
Department of Urology, Kunming General Hospital of Chengdu Military Command, Kunming, Yunnan Province, 650042;Institute of Urology, Department of Urology, Southwest Hospital, Third Military Medical University, Chongqing, 400038, China
关键词:
TURP 尿道狭窄病因 治疗
Keywords:
TURP urethral stricture etiological factor treatment
分类号:
R619; R695.06; R699
文献标志码:
A
摘要:
目的      探讨经尿道前列腺切除术(transurethral resection of prostate,TURP)术后尿道狭窄的预防及诊治策略。      方法       回顾性分析2006-2010年本科104例TURP术后尿道狭窄患者临床资料,总结患者术后临床症状、发病时间、狭窄发生部位及疗效,结合临床检查情况进行分析。      结果       前列腺增生患者TURP术后尿道狭窄发生率为(4.44%,104/2 341);TURP术后尿道狭窄多发生于术后1年内,术后4~6个月为本组尿道狭窄发生高发期(41.35%,43/104);TURP术后尿道狭窄最常见狭窄部位为膜部尿道(35.58%,37/104),其次为尿道外口(21.15%,22/104)、膀胱颈(18.27%,19/104)及悬垂部(15.38%,16/104)。      结论       加强手术操作技能训练、尿管护理及充分润滑有助于预防TURP术后尿道狭窄的发生,治疗需要根据尿道狭窄部位及程度进行选择。
Abstract:
Objective        To analyze the clinical characteristics of urethral stricture after transurethral resection of prostate (TURP).       Methods      One hundred and four patients with urethral stricture after TURP were reviewed since January 2006 to December 2010.       Results      The incidence of the 104 patients suffered with urethral stricture after TURP was 4.44% (104/2 341). Most urethral stricture occurred within one year after TURP, and the occurrence of urethral stricture reached the peak at 4-6 months after TURP (41.35%, 43/104). The extremely common stricture site was membranous urethra (35.58%, 37/104), followed by external urethral orifice (21.15%, 22/104), neck of bladder (18.27%, 19/104) and hanging portion (15.38%, 16/104).       Conclusion       Post-TURP urethral stricture has its own patterns, and improving TURP skill and urinary catheter nursing and applying gel in the urethra are helpful to prevent the occurrence of urethral stricture. The treatment should be selected based on the location and degree of urethral stricture.

参考文献/References:

李新, 宋思吉, 蒋涛, 等. TURP术后尿道狭窄临床分析及对策研究[J].第三军医大学学报,2013,35(15):1596-1598.

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更新日期/Last Update: 2013-08-05