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经尿道前列腺汽化电切术的手术并发症研究

Surgical complications of transurethral resection of prostate by electrovaporization

临床医学前沿 / 2019,1(2)：29-36 / 2019-12-27 592 607

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• 作者： 金晟     
• 单位：

  武汉市第四医院，武汉

• 关键词： 良性前列腺增生；经尿道前列腺汽化电切术；并发症
• Benign prostatic hyperplasia; Transurethral vaporization of the prostate; Complications
• 摘要： 目的：探讨经尿道前列腺汽化电切术治疗良性前列腺增生的手术并发 症和防治措施。方法回顾：162 例良性前列腺增生患者经尿道前列腺汽化电切术 临床资料，分析手术并发症的发生情况及其原因、处理和预防措施。结果经尿 道前列腺电切综合征 3 例，前列腺包膜穿孔 2 例，术中大出血 1 例，尿道狭窄 3 例，暂时性尿失禁 5 例，继发性出血 8 例，排尿困难 4 例。结论：经尿道前列 腺汽化电切术是目前一种有效治疗良性前列腺增生的微创手术，减少其并发症 的发生在于严格掌握手术适应证、积极治疗合并症、术中熟练的手术操作基本 功及术后合理预防感染等，对并发症的早期发现及正确处理，有助降低并发症 对患者造成的危害。
• Objective: to investigate the complications of transurethral resection of prostatic vaporization in the treatment of benign prostatic hyperplasia (BPH). Methods: the clinical data of 162 patients with benign prostatic hyperplasia underwent transurethral resection of prostate by electrovaporization were analyzed. Results 3 cases of transurethral resection of prostate syndrome, 2 cases of perforation of prostate capsule, 1 case of intraoperative massive bleeding, 3 cases of urethral stricture, 5 cases of temporary incontinence, 8 cases of secondary bleeding, 4 cases of dysuria. Conclusions: transurethral vaporization of prostate electricity cut method is an effective treatment of benign prostatic hyperplasia of minimally invasive surgery, reduce the complications is to strictly grasp the operation indication, active treatment of complications, skilled in the operation and basic operation and postoperative reasonable prevention infection, early detection of complications and handled correctly, helps to reduce the complications of patients with the damage.
• DOI： https://doi.org/10.35534/fcm.0102006c
• 引用： 文章引用：金晟．前列腺汽化电切术的手术并发症研究［J］．临床医学前沿，2019，1（2）：29-36．