摘要
宫腔镜手术中经尿道前列腺电切(transurethral resection of prostate,TURP)综合征是由于膨宫压力和膨宫介质的作用,膨宫液大量吸收引起稀释性低钠血症和血容量过多等临床症状,诊治不及时可致死亡。宫腔镜四级手术是宫腔镜中难度系数最高,最容易发生TURP综合征的宫腔镜手术。本文结合近年来宫腔镜手术发生TURP综合征的现状,探讨宫腔镜手术TURP综合征的高危因素,针对宫腔镜四级手术的特点更具针对性地预防TURP综合征。
In hysteroscopic surgery, transurethral resection of prostate （TURP） syndrome is due to the pressure and distention of uterine distention medium. A large number of uterine distention Fluid absorption causes dilution hyponatremia and hypervolemia and a series of clinical symptoms. When not timely diagnosed and treated, it may become fatal. The four stage hysteroscopic surgery is the highest difficult and the most prone to TURP syndrome. This phper reviewed current situation of hysteroscopy with TURP syndrome in recent years and explored the risk factors of TURP syndrome during hysteroscopy, for a more targeted prevention of TURP syndrome.
出处
《中国微创外科杂志》
CSCD
北大核心
2017年第5期466-470,共5页
Chinese Journal of Minimally Invasive Surgery
基金
首都医科大学附属北京妇产医院青年基金(FCYYQN201403)
关键词
宫腔镜四级手术
经尿道前列腺电切综合征
Four stage hysteroscopic surgery
Transurethral resection of prostate syndrome
