经尿道前列腺电汽化术中压力对经尿道电切综合征的影响

目的 总结汽化术中发生经尿道电切综合征的主要因素。方法 结合实验模型回顾性分析经尿道前列腺电汽化术早期术中发生11例经尿道电切综合征的临床资料。结果 11例经尿道电切综合征术中灌注压均在65cmH2O以上，严重的经尿道电切综合征有2例，先兆经尿道电切综合征有9例，经过及时处理均转危为安。结论 经尿道电切综合征的发生与灌注压密切相关，控制进水压在40-60cmH2O范围，及时排空膀胱中的积气，应用经尿道前列腺电汽化切除术联合经尿道前列腺电切术，达到防止或减少经尿道电切综合征的目的。

TURS affected by pressure in transurethral electrovaporization

Objective: The main factors of making transurethral resection syndrome (TURS) were summed up in electrovaporization. Methods: It was analyzed by reviewed 11 cases data of TURS with experiment model in the TUVP. Results: Among the operation of 11 cases of TURS perfusion pressure existed above 65 cmH2O, severe TURS was 2 cases, foreboding TURS was 9 cases, all them cases were treated in time. Conclusions: Taking place of TURS is very correlation with perfusion pressure. If the hydraulic pressure of TUVP is controlled between (40~60) cmH2O and the gas of bladder is pressed empty in time. Conbining with skill of TUVP and TURP, it could come true to avoid and reduce TURS.