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前列腺增生症术后再手术原因分析
引用本文:于满,王珏,晁继涌,辛立升,赵立军.前列腺增生症术后再手术原因分析[J].临床外科杂志,1999,7(4):205-206.
作者姓名:于满  王珏  晁继涌  辛立升  赵立军
作者单位:067000,承德医学院附属医院泌尿外科
摘    要:目的为了探讨减少前列腺增生症术后再手术率。方法分析1980年1月至1996年6月收治的前列腺增生症术后再手术患者18例。结果再手术主要原因为腺窝出血、腺体残留、膀胱颈挛缩和膀胱及前列腺段尿道铸型结石形成等。结论术中适当缩小膀胱颈口、常规楔形切除后唇、术后应用抗生素、避免早期剧烈活动以及彻底切除增生的腺体是防止和减少术后再手术率的关键。

关 键 词:前列腺增生  前列腺切除术
修稿时间::1997-03-1

Analysis on the causes of reoperation of hyperplasia of prostate
YU Man,WANG Jue,CHAO Jiyong,et al..Analysis on the causes of reoperation of hyperplasia of prostate[J].Journal of Clinical Surgery,1999,7(4):205-206.
Authors:YU Man  WANG Jue  CHAO Jiyong  
Institution:YU Man,WANG Jue,CHAO Jiyong,et al. Department of Urology,The Affiliated Hospital of Chengde Medical College,Chengde 067000
Abstract:Objective In order to reduce the rate of reoperation of hyperplasia of prostate. Method 18 patients who needed reoperation from January 1980 to June 1996 were analysed. Result It is suggested that crypt of gland bleeding,residual of prostatic contracture of bladder neck and cast form stone in prostatic urethra and bladder neck are the main causes of reoperation. Conclusion It is put forward that the key to prevent reoperation and reduce the rate of reoperation lies in intraoperative shrinkage of bladder neck orifice and wedge resection of posterior lip in routine,as well as postoperative proper usage of antibotic,avoidance of premature strenous exercise,complete resection of hyperplastic prostate.
Keywords:Hyperplasia of prostateProstatectomy  
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