摘要
目的:探讨经尿道前列腺汽化电切术(transurethral vaporization resection of prostate,TUVRP)常见并发症的原因及防治措施,以减少并发症的发生,提高疗效。方法:回顾分析为317例良性前列腺增生患者行TUVRP的临床资料。结果:2例(0.6%)发生电切综合征,3例(0.9%)前列腺包膜穿孔,8例(2.5%)术后出血,6例(1.9%)不完全尿失禁,1例(0.3%)永久性尿失禁,7例(2.2%)发生尿道狭窄,3例(0.9%)腺体残留再次手术。结论:TUVRP治疗良性前列腺增生症效果良好,但仍有一定的并发症发生率,充分的术前准备、术中精细操作可减少并发症的发生,提高手术疗效。
Objective：To investigate the causes of complications and their prevention measures of transurethral vaporization re- section of the prostate, to reduce the complications and improve the treatment effect. Methods：Retrospective analysis was made on the clinical data of 317 cases of transurethral vaporization resection of prostate for treatment of benign prostatic hyperplasia. Results： Com- plications included transurethral electroresection syndrome in 2 cases （0.6%）, the prostatic capsular perforation in 3 cases （0.9%）, postoperative hemorrhage in 8 cases （2.5%） ,incomplete urinary incontinence in 6 cases （1.9%） ,permanent urinary incontinence in 1 case （0.3 % ）, urethral stricture in 7 cases （2.2%）, residual gland reoperation in 3 cases （0.9%）. Conclusions. Transurethral va- porization resection of prostate for treatment of benign prostatic hyperplasia is effective, but some complications still exist, full preopera- tive preparation,intraoperative fine operation can reduce the complications and improve the treatment effect.
出处
《腹腔镜外科杂志》
2012年第4期268-270,共3页
Journal of Laparoscopic Surgery
关键词
前列腺增生
尿道前列腺汽化电切术
并发症
Prostatic hyperplasia
Transurethral vaporization resection of prostate
Complications
