摘要
目的探讨经尿道前列腺切除术后常见并发症的最佳预防和处理方法，进一步提高手术安全性和有效性。方法采用回顾性调查分析，抽取2010年至2012年山西省太谷县人民医院180例经尿道前列腺电切术后患者的临床资料，并对各种常见并发症的处理方法进行总结分析。结果180例中发生膀胱挛缩70例，术后寒颤30例．术后出血1例，暂时性尿失禁6例，排尿困难7例，尿道狭窄5例，膀胱颈挛缩1例。尿路感染21例，逆行射精1例，附睾炎3例。结论经尿道前列腺电切术（TURP）并发症的原因有多种因素，提高手术操作熟练程度，严格掌握手术指征，完善术前各种辅助检查等是提高临床效果的关键。大部分并发症经及时正确处理，不会产生严重后果。
Objective To investigate the patients with transurethral resection of prostate （TURP） and find the best way of common postoperative complication of TURP to improve the safety and effective of TURP. Methods The clinical data of 180 patients （ 2010 - 2012 ） were analyzed for the common post-operative complications of TURP retrospectively. Results Bladder spasm occurred in 70 cases, postoperative chills in 30 cases, postoperative bleeding in 1 case, temporary incontinence in 6 ca- ses, dysuresia and in 7 cases, urethral stricture in 5 cases, bladder neck contracture in 1 case, urinary tract infection in 21 cases, retrograde ejaculation in 1 case, epididymitis in 3 cases. Conclusions There are many factor for postoperative complication of TURP. To improve skill of operators. To master the indi- cations of TURP strictly, and to perfect preoperative assistant examination is vital for improving clinical effects, and there will be no serious consequence if the complications can be treated in time.
出处
《中国实用医刊》
2013年第11期35-37,共3页
Chinese Journal of Practical Medicine
关键词
前列腺增生症
经尿道前列腺电切术
并发症
Benign prostatic hyperplasia
Transurethral resection of prostate
Complication
