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目的探讨经尿道前列腺电切术(TURP)中预防和治疗经尿道电切综合征(TURS)的方法。方法应用TURP治疗良性前列腺增生(BPH)患者315例,对前列腺体积大、手术时间长者,给予预防性治疗;对出现TURS者,及时给予利尿、补给高渗钠等治疗。结果本组有11例发生TURS,经过及时积极治疗,病情均得到控制,康复出院。结论 TURS是TURP最严重的并发症,早期合理治疗,术中注意低压灌注、控制手术时间、掌握手术技巧等措施可以有效预防和治疗TURS。
Objective To investigate the method of transurethral resection syndrome (TURS) in transurethral resection of prostate (TURP). Methods 315 cases of benign prostatic hyperplasia (BPH) were treated with TURP, prophylactic treatment was given to patients with large prostate and long operative time. Patients with TURS were given diuretic and sodium supplementation in time. Results TURS occurred in 11 cases in this group. After active treatment in time, the condition was controlled and discharged. Conclusion TURS is the most serious complication of TURP. TURS can be effectively prevented and treated by early reasonable treatment, intraoperative attention to low pressure perfusion, control of operation time and surgical techniques.