摘要
目的 :探讨经尿道前列腺汽化电切术 (TUVP)的常见并发症及产生原因 ,提高TUVP治疗效果。方法 :对42 0例有症状良性前列腺增生 (BPH)患者行TUVP术。平均年龄 62 .9岁。术前及术后测定尿流率 ,术后随访 1～ 3个月。结果 :该组无死亡率。发生尿道损伤 2 .1 %。经尿道电切综合征 (TURS) 2 .4 % ,包膜穿孔和尿外渗 2 .9% ,出血 4 .5 % ,暂时性尿失禁 2 .8% ,永久性尿失禁 0 .2 4 % ,尿道狭窄 3 .1 % ,膀胱颈挛缩 1 .9% ,尿道感染及附睾炎、睾丸炎 6 .9% ,阳萎 6 .4 % ,逆行射精 1 1 .4 %。结论 :TUVB术中保持清晰视野 ,规范操作 ,止血彻底 ,可防止前列腺包膜穿孔和切破静脉窦及术后出血和尿失禁发生 。
Objective:To review the intra and post-operati ve complications of transurethral electrovaporization (TUVP).Methods:TUVP was undertaken for 420 symptomatic BPH patients w it h a mean age of 62.9. The measurement of uroflometry pre and post-operatively,t he patients have been followed up at 1 and 3 month.Results:No deaths were showed. The rate of injury of urethra was 2.1%,TURS 2.4%,perforation and extravasation 2.9% ,haemorrhage 4.5%,suspend inco ntinence 2.8%,permanent incontinence 0.24%,urethral stricture 3.1% ,contractu re of badder neck 1.9%,urethritis-epididymistis-orchitis 6.9%,impotence 6.4%,and r etrograde ejaculation 11.4%.Conclusions:During the operation of TUVP, the clear field of vision, standarded operating and complete blood-stopping may be the better ways to prevent prostatic-covering perforation as well as cutting open the veins,blee ding after the operation and the occurring of incontinence, and also they can d ecrease the occurrence rate of TURS.
出处
《中国内镜杂志》
CSCD
2003年第6期30-31,共2页
China Journal of Endoscopy
