经尿道前列腺切除术治疗前列腺增生2070例临床分析

目的:探讨经尿道前列腺切除术(TURP)的可行性、存在问题及解决措施。方法:选择2001年11月~2007年4月在喀什地区及周围部分地区各级医院2 070例良性前列腺增生(BPH)患者,均行TURP。结果:TURP手术顺利,平均手术时间52.9 min,平均切除前列腺组织35.9 g,术中平均出血量45 ml;术后平均膀胱冲洗时间2.25 d,留置尿管时间5.14 d,住院时间12.44 d。术中输血5例,术后第1天输血9例。发生电切综合征(TURS)1例,膀胱爆裂1例,二次电切镜下止血7例。结论:开展TURP术须严格掌握手术适应证,加强术后管理。

Extending application transurethral resection of prostate (report of 2 070 cases)

Objective: To discuss the availability of using the transurethral resection of prostate(TURP) and existing problems and solving measures.Methods: 2 070 cases of benign prostatic hyperplasiac(BPH) were treated with TURP in different grade hospitals in this prefecture and surrounding regions.Results: It was successful of using TURP in every grade hospitals.The general results were satisfactory.The average period of operation time was 52.9 min,average weight of resected prostate tissue was 35.9 g,average bleeding were 45 ml,irrigation time were 2.25 d,catheterization time were 5.14 d,hospital stay time were 12.44 d.blood transfusion cases were 5 intraoperation and 9 postoperation.Postoperative complications include bladder blow out,TURS,reopration,etc.Conclusions: Our results showed that strict grap this operation indication,strengthen postoperative administration,strengthening technical cooperation between different grade hospitals,to pay attention to train specialist cross-correlation technique are the keys to success of TURP.