经尿道前列腺电汽化术的并发症及防治

目的　探讨经尿道前列腺电汽化术（ＴＶＰ） 术中及术后的常见并发症及产生原因，以提高ＴＶＰ 治疗效果。　方法　对３８０ 例有症状的良性前列腺增生（ＢＰＨ） 患者行ＴＶＰ 术。平均年龄６８－３ 岁。术前及术后测定血常规、血钠和血糖，术后随访１ ～３ 个月。　结果　本组无死亡率。术中平均出血８６ｍｌ，血常规、血钠及血糖变化不明显，发生经尿道电切综合征（ＴＵＲＳ） 先兆２ 例。术后尿道狭窄发生率为３－２％ ，继发性出血０－５ ％ ，尿路感染４－７ ％ ，阳萎２－３ ％ ，逆行射精４５－６ ％ ，无真性尿失禁。　结论　ＴＶＰ术中保持清晰的视野可预防ＴＵＲＳ 的发生。操作损伤是引起尿道狭窄的重要原因。术前控制尿路感染及保持前列腺窝内平整可减少尿路感染的发生

Complications of transurethral electrovaporization of the prostate

Objective To review the intra and post operative complications of transurethral electrovaporization of prostate(TVP). Methods TVP was undertaken for 380 symptomatic BPH patients with a mean age of 68.3.Blood routine,serum sodium were measured pre and post operatively.The patients have been followed up at 1 and 3 months. Results The mean blood loss was 86ml.There were no obvious changes in hematocrit and serum sodium.TURS was noted in only 2.Postoperative complications included urethral stricture in 3.2%,bleeding in 0.5%,urinary infection in 4.7%,impotence in 2.3% and retrograde ejeculation in 45.6%. Conclusions Operative injury is usually the cause of urethral stricture and a clear operative field is the key point to prevent surgical complications.