经尿道前列腺汽化电切术早期并发症及防治

目的探讨经尿道前列腺汽化电切(TUEVAP)治疗良性前列腺增生(BPH)术后早期并发症发生的常见原因及相关因素,以提高手术的治疗效果,保证手术的安全性。方法回顾分析518例良性前列腺增生TUEVAP的临床资料。结果手术后早期并发症共73例,腺体残留7例(9.6%),尿路感染12例(16.4%),尿道狭窄18例(24.7%),术后出血23例(31.5%),轻度尿失禁5例(6.8%),阴茎勃起功能障碍6例(8.2%),电切综合征(TURS)2例(2.7%)。结论经尿道前列腺汽化电切除术术前预防治疗,术中熟练掌握操作技术及技巧,术后正确处理能有效减少各类并发症的发生,提高治愈率。

Prevention and treatment of early postopeartive complications of TUEVAP

Objective To investigate the common reasons and factors of the early postoperative complications of TUEVAP.To raise the effect and to guarantee the safety of postoperative.Methods Five hundred and eighteen cases underwent TUEVAP were retrospectively analyzed.Results The 73 patients occurred early postoperative complications,including residual in 7 cases(9.6%),urethral infection in 12 cases(16.4%),urethra stricture in 18 cases(24.7%),postoperative bleeding in 23 cases(31.5%),light postoperative incontinence in 5 cases(6.8%),erective dysfunction in 6 cases(8.2%) and TURS in 2 cases(2.7%).Conclusion Through the preventive cure before TUEVAP,skillful operation intraoperative and correct treatment postoperative,we can greatly reduce all kinds of complications and raise the rate of cure.