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目的探讨前列腺包膜在大体积前列腺增生(>100g)TURP手术中的作用。方法回顾性分析我院2010年6月至2013年12月期间,60例行TURP手术的超大腺体前列腺增生(>100g)患者的临床资料,比较术前术后患者的排尿情况,术后包膜穿孔者与未穿孔者血糖、血钠变化及TURS的发生率。结果 60例患者术后排尿情况明显改善,术后IPSS、QoL、Q_(max)较术前均有显著差异(P<0.05)。8例术中出现不同程度包膜损伤或穿孔,7例术中出现明显血糖升高及血钠降低,考虑TURS发生,其中6例合并包膜损伤。结论前列腺包膜在超大前列腺TURP手术中有重要意义,术中保持包膜完整性是手术成功的关键,能显著降低术中TURS发生率。
Objective To investigate the role of prostatic capsule in TURP with massive benign prostatic hyperplasia (> 100g). Methods The clinical data of 60 patients with benign prostatic hyperplasia (> 100g) undergoing TURP operation from June 2010 to December 2013 in our hospital were retrospectively analyzed. The urinary excretion was compared between preoperative and postoperative patients Blood perfusion and nonperforated blood glucose, serum sodium and the incidence of TURS. Results 60 cases of postoperative urination was significantly improved, postoperative IPSS, QoL, Q max (max) were significantly different (P <0.05). In 8 cases, there were varying degrees of perforation or perforation of the capsule, significant increase of blood glucose and decrease of serum sodium appeared in 7 cases, and TURS was considered. Among them, 6 cases were associated with capsule injury. Conclusions The prostate capsule is of great significance in the management of extra-large prostate TURP. To maintain the integrity of the capsule during operation is the key to the successful operation and can significantly reduce the incidence of intraoperative TURS.