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目的:探讨前列腺切除术后膀胱冲洗造成膀胱痉挛的原因及相关的应对措施。方法:对本院2009年8月～2010年7月收治的24例良性前列腺切除术后造成膀胱痉挛患者进行回顾性总结分析。结果:前列腺切除术后膀胱冲洗引起膀胱痉挛的原因包括精神紧张、操作人员冲洗方法错误、冲洗液的刺激、冲洗液的温度不适合或者速度过快等。针对上述的原因采取相关的应对措施,取得了理想的效果,24例患者中痊愈20例,有效4例,总有效率为100%。治疗过程中无明显不良反应的发生。结论:前列腺切除术后膀胱冲洗引起膀胱痉挛时针对病因采取相关的应对措施可以明显预防和减少膀胱痉挛的发生率,而且无并发症的产生,临床上建议进一步推广。
Objective: To investigate the causes of bladder spasm caused by bladder irrigation after prostatectomy and related countermeasures. Methods: A retrospective analysis of 24 patients with cystospasm caused by benign prostatic resection in our hospital from August 2009 to July 2010 was retrospectively analyzed. RESULTS: Causes of bladder spasm after bladder resection after prostate resection include mental stress, incorrect operator method of washing, irritation of irrigation fluid, improper temperature of irrigation fluid or excessive speed. For the above reasons to take the relevant response measures, and achieved the desired effect, 24 patients recovered in 20 cases, effective in 4 cases, the total effective rate was 100%. No obvious adverse reactions occurred during the treatment. Conclusion: Bladder spasm caused by bladder irrigation after prostatic resection may be related to the cause of bladder spasm. It can prevent and reduce the incidence of bladder spasm and has no complications. It is recommended to be further popularized in clinic.