尿道狭窄作为经尿道前列腺手术的并发症。

L. M. Sinelnikov, V. Protoshchak, P. O. Kislitsyn, T. Gasanbekov, E. I. Proskurevich, D.A. Galiuk
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引用次数: 0

摘要

介绍。20世纪下半叶,抗生素治疗被纳入临床实践,从根本上改变了尿道狭窄疾病的“病因学景观”。在炎症性狭窄比例下降的背景下,新技术的引入,经尿道干预在泌尿外科的普及导致了医源性狭窄的发生率增加。本综述的目的是系统分析经尿道前列腺手术后尿道狭窄的危险因素。材料和方法。在PubMed, library, Scopus, EMBASE,专业协会网站中检索关键词“经尿道前列腺切除术”,“尿道狭窄”,“医源性尿道狭窄”,“尿道损伤”。选择了58份出版物进行审查和分析,其中5份是国内出版物。结果。分析了供能方式、供能方式、前列腺组织切除方式等因素的影响;器械直径及患者解剖特征;前列腺组织切除速度、手术时间、切除体积;尿路感染;电损伤;TURP的其他危险因素。结论。经证实的因素包括:器械直径、操作次数、尿路感染。可能的因素应考虑到患者的解剖特征:“狭窄的尿道”,短的阴茎悬韧带。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Urethral strictures as a complication of transurethral prostate surgery.
Introduction. The inclusion of antibiotic therapy into clinical practice in the second half of the 20th century radically changed the «etiological landscape» of urethral stricture disease. Against the background of a decrease in the proportion of inflammatory strictures, the introduction of new technologies, the spread of transurethral interventions in urology has led to an increase in the incidence of iatrogenic strictures. The purpose of this review is to systematize risk factors for urethral strictures after transurethral prostate surgery. Materials and methods. A search was made for the keywords «transurethral resection of the prostate», «urethral stricture», «iatrogenic urethral strictures», «urethral injuries» in the databases PubMed, eLibrary, Scopus, EMBASE, websites of professional associations. 58 publications were selected for review and analysis, 5 of which are domestic. Results. The influence of the following factors was analyzed: the method of energy supply, the type of energy, the method of removing prostatic tissue; instrument diameter and anatomical features of the patient; resection speed, operation time and volume of removed prostatic tissue; urinary tract infection; electrical damage; other risk factors for TURP. Conclusion. The proven factors include: the diameter of the instrument, operating times, urinary tract infection. Probable factors should be considered the anatomical features of the patient: «narrow urethra», a short penile suspensory ligament.
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