中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
15期
21-22
,共2页
经尿道前列腺电切手术%术后并发症%良性前列腺增生%防治
經尿道前列腺電切手術%術後併髮癥%良性前列腺增生%防治
경뇨도전렬선전절수술%술후병발증%량성전렬선증생%방치
Transurethral resection of the prostate operation%Postoperative complications%Benign prostatic hyperplasia%Prevention and cure
目的：探讨经尿道前列腺电切手术(TURP)治疗患者并发症及其防治措施。方法：2011年11月-2013年11月收治良性前列腺增生患者108例，对其临床资料进行回顾性分析。结果：108例TURP患者手术发生并发症20例，发生率18.52%，其中术后出血10例(7例膀胱冲洗后再次牵引导管止血，3例再次电切镜止血)、6例尿道狭窄(定期尿道扩张处理)、3例尿失禁(膀胱造瘘处理)、1例尿道电切综合征(利尿脱水剂、吸氧、抗心衰等处理)，皆在对症处理后痊愈。结论：经尿道前列腺电切术治疗良性前列腺增生患者，手术并发症病因复杂，应及时做好相关的预防与对症处理，才能降低并发症发生率，提高患者生存质量。
目的：探討經尿道前列腺電切手術(TURP)治療患者併髮癥及其防治措施。方法：2011年11月-2013年11月收治良性前列腺增生患者108例，對其臨床資料進行迴顧性分析。結果：108例TURP患者手術髮生併髮癥20例，髮生率18.52%，其中術後齣血10例(7例膀胱遲洗後再次牽引導管止血，3例再次電切鏡止血)、6例尿道狹窄(定期尿道擴張處理)、3例尿失禁(膀胱造瘺處理)、1例尿道電切綜閤徵(利尿脫水劑、吸氧、抗心衰等處理)，皆在對癥處理後痊愈。結論：經尿道前列腺電切術治療良性前列腺增生患者，手術併髮癥病因複雜，應及時做好相關的預防與對癥處理，纔能降低併髮癥髮生率，提高患者生存質量。
목적：탐토경뇨도전렬선전절수술(TURP)치료환자병발증급기방치조시。방법：2011년11월-2013년11월수치량성전렬선증생환자108례，대기림상자료진행회고성분석。결과：108례TURP환자수술발생병발증20례，발생솔18.52%，기중술후출혈10례(7례방광충세후재차견인도관지혈，3례재차전절경지혈)、6례뇨도협착(정기뇨도확장처리)、3례뇨실금(방광조루처리)、1례뇨도전절종합정(이뇨탈수제、흡양、항심쇠등처리)，개재대증처리후전유。결론：경뇨도전렬선전절술치료량성전렬선증생환자，수술병발증병인복잡，응급시주호상관적예방여대증처리，재능강저병발증발생솔，제고환자생존질량。
Objective:To explore the complications and prevention and control measures of transurethral resection of the prostate operation.Methods:108 patients with benign prostatic hyperplasia were selected from November 2011 to November 2013.Clinical data of them were retrospectively analyzed.Results:In 108 TURP patients,complications occurred in 20 patients(8.52%),including postoperative hemorrhage in 10 cases(7 cases received hemostasis with again pulling catheter after irrigation of bladder,3 cases received hemostasis with electricity cut mirror again),6 cases of urethral stricture(regular urethral dilatation treatment),3 cases of urinary incontinence(urinary bladder fistula treatment),1 case of transurethral resection syndrome(diuresis dehydration,oxygen, anti heart failure treatment).All patients were cured by symptomatic treatment.Conclusion:Benign prostatic hyperplasia patients are treated with transurethral resection of the prostate operation,and the etiology of operation complications are complex.We should do a good job in related prevention and treatment,in order to reduce the incidence of complications and improve the quality of life of patients.
