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目的探讨经尿道前列腺汽化电切术(TUVP)常见并发症的原因、预防及治疗措施。方法回顾性分析2007年12月——2012年12月我院泌尿外科257例前列腺增生症(BPH)患者行TUVP的临床资料,分析其常见并发症的原因、预防及治疗措施。结果 257例患者均顺利完成手术。术后随访6个月,发生电切综合症3例(1.17%),前列腺包膜穿孔水外渗5例(1.95%),继发出血6例(2.33%),尿失禁5例(1.95%),附睾炎3例(1.17%),尿道狭窄1例(0.39%)。结论 TUVP是治BPH的有效方法,但仍存在一定的并发症发生率。充分的术前检查、术中精细操作及术后精心护理可减少并发症的发生。
Objective To investigate the causes, prevention and treatment of common complications of transurethral vaporization of the prostate (TUVP). Methods The clinical data of TUVP in 257 patients with benign prostatic hyperplasia (BPH) from December 2007 to December 2012 in our hospital were retrospectively analyzed. The causes, prevention and treatment measures of common complications were analyzed. Results 257 patients completed the operation successfully. After 6 months of follow-up, there were 3 cases (1.17%) of resection syndrome, 5 cases (1.95%) with extraperitoneal drainage of prostatic capsular, 6 cases with secondary bleeding (2.33%), 5 cases with urinary incontinence ), Epididymitis in 3 cases (1.17%) and urethral stricture in 1 case (0.39%). Conclusion TUVP is an effective method of treating BPH, but there is still a certain complication rate. Adequate preoperative examination, intraoperative fine operation and meticulous care can reduce the incidence of complications.