| 经尿道前列腺汽化电切术电切综合征的防治 |
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| 引用本文： | 蔡聪,洪汉业,杨峰涛,何学军,黄诚.经尿道前列腺汽化电切术电切综合征的防治[J].临床泌尿外科杂志,2005,20(10):622-623. |
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| 作者姓名： | 蔡聪 洪汉业 杨峰涛 何学军 黄诚 |
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| 作者单位： | 汕头大学医学院第一附属医院泌尿外科,广东,汕头,515041;汕头大学医学院第一附属医院泌尿外科,广东,汕头,515041;汕头大学医学院第一附属医院泌尿外科,广东,汕头,515041;汕头大学医学院第一附属医院泌尿外科,广东,汕头,515041;汕头大学医学院第一附属医院泌尿外科,广东,汕头,515041 |
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| 摘 要： | 目的：探讨经尿道前列腺汽化电切术（TUVP）发生电切综合征（TURS）的原因与防治方法.方法：对320例良性前列腺增生（BPH）患者行TUVP术.术前对伴有高血压等高危患者行内科治疗;术中静脉滴注3%氯化钠溶液,手术时间超过1 h者静脉推注速尿;控制手术时间和创面出血,监测血常规和血钠,术后随访1～3个月.结果：仅6例发生TURS先兆,无TURS发生,未出现死亡病例.结论：在TUVP中,采取综合措施防治TURS能取得较好的效果;其中术中静滴3%氯化钠溶液比静滴林格液更有积极意义,应用利尿剂有较好的促进作用.
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| 关 键 词： | 良性前列腺增生 泌尿外科手术 并发症 |
| 文章编号： | 1001-1420(2005)10-0622-02 |
| 收稿时间： | 04 3 2005 12:00AM |
| 修稿时间： | 2005年4月3日 |
Prevention and treatment of TURS |
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| CAI Cong,HONG Hanye,YANG Fengtao,HE Xuejun,HUANG Cheng.Prevention and treatment of TURS[J].Journal of Clinical Urology,2005,20(10):622-623. |
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| Authors: | CAI Cong HONG Hanye YANG Fengtao HE Xuejun HUANG Cheng |
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| Institution: | 1.Department of Urology, the First Affiliated Hospital, Medical College of Shantou University, Shantou, Guangton, 515041, China |
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| Abstract: | Objective:To Analyse the risk factors of transurethral resection syndrome(TURS) at transurethral electrovaporization ablation of prostate(TUVP),and to improve the treatment efficiency of TUVP.Methods:TUVP was undertaken in 320 cases of symptomatic BPH patients.3% sodium chloride was transfused intraoperatively,lasix was transfused to the patients when the operative time was above one hour.Blood routine and serum sodium were measured pre and post-operatively.The patients were followed up at 1 and 3 months.Results:There was no patients died and no transurethral resection syndrome(TURS) cases noted.Conclusions:Skilled TURP technology and short operation time,combined with 3% sodium chloride transfusion could reduce bleeding and occurrence rate of TURS. |
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| Keywords: | Benign prostatic hyperplasia Transurethral electrovaporization ablation of prostate Complication |
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