CAJ | 학술논문

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.
목적 탐토경뇨도전렬선절제술후상견병발증적최가예방화처리방법,진일보제고수술안전성화유효성.방법 채용회고성조사분석,추취2010년지2012년산서성태곡현인민의원180례경뇨도전렬선전절술후환자적림상자료,병대각충상견병발증적처리방법진행총결분석.결과 180례중발생방광련축70례,술후한전30례,술후출혈1례,잠시성뇨실금6례,배뇨곤난7례,뇨도협착5례,방광경련축1례.뇨로감염21례,역행사정1례,부고염3례.결론 경뇨도전렬선전절술(TURP)병발증적원인유다충인소,제고수술조작숙련정도,엄격장악수술지정,완선술전각충보조검사등시제고림상효과적관건.대부분병발증경급시정학처리,불회산생엄중후과.
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 cases,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 indications 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.