摘要
目的探讨经尿道前列腺电切术(transurethralelectrovaporizationofprostate,TVP)的常见并发症及产生原因,以体会TVP治疗效果。方法对220例良性前列腺肥大(benignprostatichypertrophy,BPH)患者行TVP术。结果平均年龄66.3岁。术前和术后测定血常规、血钠及血糖,术后平均出血120ml,血常规、血钠及血糖变化不明显,术中术后常见并发症的发生率分别为:术中出血和术后继发性出血2.8%,经尿道切除(前列腺)0.9%,(transurethralresection,TURS),包膜穿孔和灌洗液外渗0.45%,暂时性尿失禁12.7%,尿道及尿道外口狭窄3.2%,排尿不畅0.9%,尿路感染5.5%,勃障3.0%,逆行射精39.3%,无真性尿失禁。结论术中防止包膜穿孔和保持视野清晰可预防TURS的发生。操作不当可导致尿道狭窄。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。
Objective To study the intra and post-operative complications of transurethral electrovaporization of prostate （TVP0）. Methods TVP was performed on symptomatic BPH patients with a mean age of 66.3. Blcod routine, serum soldium were measured pre and post-operatively. The patients have been followed up for 3 to 6 months. Results The mean blcod loss was 90 ml. There were no obvious changes in hematocrit and serum sodium. Complications of the procedure included： TVP syndrome in 0.9 %, intraoperative and postoperative bleeding in 2.8 %, integument perforation and douche liquid extravasation in 0.45 %, temporary incontinence in 12.7 %, urethral stricture in 3.2 %, voiding difficulty in 0.9 %, urinary infection in 5.5 %, impotence in 3 % and retrograde ejaculation in 39.3 %. Conclusion TVP has some complications. Prevention and management of these complications should be emphasized, for TVP.
出处
《同济大学学报（医学版）》
CAS
2005年第6期87-89,共3页
Journal of Tongji University(Medical Science)
