摘要
目的:探讨经尿道前列腺剜除术治疗良性前列腺增生症术后早期尿潴留的原因及防治措施。方法:回顾分析2013年4月~2017年6月在我院接受经尿道前列腺剜除术治疗的358例BPH患者的临床资料,分析术后21例患者出现尿潴留的原因。结果:21例患者术后出现排尿困难最终均出现尿潴留,其中尿道水肿未消退8例,血凝块堵塞尿道3例,残余前列腺组织碎片堵塞6例,有4例反复尿潴留,经行尿流动力学检查提示膀胱逼尿肌收缩力下降。最后通过给予留置导尿、膀胱功能锻炼和口服α受体阻滞剂药物等治疗,随访3月,排尿畅,术后Qmax 14.9~30.7 m L·s-1,平均(22.3±2.8)m L·s-1;IPSS 1~6分,平均(8.6±5.7)分;QOL 0~3分,平均(1.2±0.98)分。结论:经尿道前列腺剜除术后尿潴留的原因有尿道前列腺部创面水肿、组织碎片残留、血凝块堵塞、膀胱逼尿肌无力等,通过给予留置尿管膀胱功能锻炼及α受体阻滞剂药物等治疗,可有效预防术后尿潴留的发生。
Objective： To investigate the cause,prevention and management of urine retention in transurethral enucleation resection of prostate（TUERP）. Methods： 358 patients underwent TUERP,the clinical data and the complications were analyzed retrospectively. Results： 21 patients had urinary retention when the catheter was removed. The patients had satisfactory voiding after removal of the catheter with the treatment of indwelling catheter and drugs. The follow-up time was 3 months and all patients urinate normally. Conclusions： The causes of urinary retention after TUERP includes acute urethral edema,remaining of prostatic tissue,blood clot,bladder detrusor muscle weakness,and so on. Indwelling catheter and taking medicine is the key to reducing and preventing urine retention.
作者
钟晓健
黄洪才
叶东明
刁鹏飞
韩跃辅
方海林
彭潋
陈清江
ZHONG Xiao-jian;HUANG Hong-cai;YE Dong-ming;DIAO Peng-fei;HAN Yue-fu;FANG Hai-lin;PENG Lian;CHEN Qing-jiang(Department of Urology,Yue Bei People＇s Hospital,Shaoguan,Guangdong 512000)
出处
《赣南医学院学报》
2018年第5期465-467,共3页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
良性前列腺增生
经尿道前列腺剜除术
尿潴留
Benign prostatic hyperplasia
Transurethral enueleation resection of prostate
Urinary retention
