经尿道前列腺电汽化术后并发症的原因探讨及预防

目的 探讨经尿道前列腺电汽化术（TVP）术后常见并发症的产生原因及预防措施。方法 有症状的前列腺增生症（BPH）患者2028例，均行TVP治疗，其中1735例获术后随访6月以上。结果 术后发生尿道狭窄者52例，急性尿潴留47例，尿路感染64例，附睾炎5例，继发性出血36例，暂时性尿失禁8例，腺体残留3例。结论 术中器械损伤是引起尿道狭窄的主要原因；术后尿路感染是出血的重要原因。术前控制尿路感染、术中仔细操作可减少术后并发症的发生。

The Study of the Reasons and Prevention of Post-operative Complications of Transurethral Electrovaporization of Prostate

Objective To review the post-operative complications of transurethral electrovaporization of prostate(TVP).Methods TVP was undertaken for 2 028 patients with symptomatic benign prostatic hyperplasia(BPH).One thousand and seven hundred and thirty five patients have been followed up at least 6 months after operation.Results Post-operative complications included urethral stricture in 52 patients,acute urine retention in 47,urinary infection in 64,bleeding in 36,incontinence in 8,epididymitis in 5 and gland residual in 3.Conclusions Operative injury is the main cause of urethral stricture;urinary infection is the usual cause of post-operative bleeding.Successful control of presoperative urinary tract infection and careful operation is the key point to prevent post-operative complications.