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经尿道前列腺电切术和汽化电切术并发症48例分析
引用本文:胡桑,章启晔,陈建华,王文卿.经尿道前列腺电切术和汽化电切术并发症48例分析[J].国际泌尿系统杂志,2007,27(4):438-440.
作者姓名:胡桑  章启晔  陈建华  王文卿
作者单位:200040,上海,上海邮电医院泌尿外科;200040,上海,上海邮电医院泌尿外科;200040,上海,上海邮电医院泌尿外科;200040,上海,上海邮电医院泌尿外科
摘    要:目的分析经尿道前列腺电切术(TURP)与经尿道前列腺汽化电切术(TVP)术中、术后常见并发症的原因、预防及治疗,提高手术安全性和有效性。方法回顾分析1999年5月-2006年6月本院TURP和TVP术48例並发症患者的临床资料。结果平均手术时间75min,平均切除组织41g。术中、术后出血20例,电切综合征(TURS)5例,暂时性尿失禁11例,膀胱颈部挛缩5例,尿道狭窄8例,尿路感染7例,膀胱穿孔1例。结论TURP和TVP是良性前列腺增大症安全有效的外科治疗方法,术前详细采集病史,术中正确操作,术后对病人正确指导及处理可有效减少手术并发症。

关 键 词:前列腺切除术  尿道  电外科手术
文章编号:1001-4594(2007)04-0438-03
修稿时间:2007-03-23

Analysis of 48 cases of complications of transurethral resection of the prostate and transurethral electrovaporization of the prostate
Hu sang, Zhang qi - ye, Chen jian - hua,et al..Analysis of 48 cases of complications of transurethral resection of the prostate and transurethral electrovaporization of the prostate[J].International Journal of Urology and Nephrology,2007,27(4):438-440.
Authors:Hu sang  Zhang qi - ye  Chen jian - hua  
Institution:Department of Urology, Shanghai Post and Telecommunication Hospital, Shanghai 200040, China
Abstract:Objectives To analyze the reason,prevention and treatment of the common complications during and after transurethral resection of the prostate(TURP) and transurethral electrovaporization of the prostate(TVP),and to further improve the efficacy and safety of these procedures. Methods Data of 48 cases of complications of TURP and TVP from May 1999 to Jun 2006 in our hospital was reviewed retrospectively.Results The mean operative time was 75min,the mean resected tissue was 41g. 20 cases suffered bleeding, 5 cases suffered transurethral resection syndrome(TURS),11 cases suffered transient incontinence of urine, 5 cases suffered bladder neck contracture,8 cases suffered urethral stricture,7 cases suffered urinary tract infection,1 case suffered bladder perforation.Conclusions TURP and TVP are safe and effective surgical treatment for symptomatic benign prostatic hyperplasia. Complications of TURP and TVP could be prevented effectively by certain measurements.
Keywords:Prostatectomy  Urethra  Electrosurgery
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