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目的 :探讨经尿道前列腺汽化电切术 (TUVP)的常见并发症及产生原因 ,提高TUVP治疗效果。方法 :对42 0例有症状良性前列腺增生 (BPH)患者行TUVP术。平均年龄 62 .9岁。术前及术后测定尿流率 ,术后随访 1～ 3个月。结果 :该组无死亡率。发生尿道损伤 2 .1 %。经尿道电切综合征 (TURS) 2 .4 % ,包膜穿孔和尿外渗 2 .9% ,出血 4 .5 % ,暂时性尿失禁 2 .8% ,永久性尿失禁 0 .2 4 % ,尿道狭窄 3 .1 % ,膀胱颈挛缩 1 .9% ,尿道感染及附睾炎、睾丸炎 6 .9% ,阳萎 6 .4 % ,逆行射精 1 1 .4 %。结论 :TUVB术中保持清晰视野 ,规范操作 ,止血彻底 ,可防止前列腺包膜穿孔和切破静脉窦及术后出血和尿失禁发生 ,并且也可减少TURS的发生率
Objective: To investigate the common complications and causes of transurethral vaporization of the prostate (TUVP) and improve the therapeutic effect of TUVP. Methods: TUVP was performed in 42 0 patients with BPH (benign prostatic hyperplasia). The average age is 62.9 years old. Preoperative and postoperative urinary flow rate was measured, followed up for 1 to 3 months. Results: There was no mortality in this group. Urethral injury occurs 2.1%. Transurethral resection syndrome (TURS) 2.4%, perforation of the capsule and extravasation of urine 2.9%, bleeding 4.5%, temporary urinary incontinence 2.8%, permanent urinary incontinence 0.2% , Urethral stricture 3.1%, bladder neck contracture 1.9%, urinary tract infection and epididymitis, orchitis 6.9%, impotence 6.4%, retrograde ejaculation 11.4%. Conclusion: TUVB surgery to maintain a clear field of vision, standardized operation, complete hemostasis can prevent perforation of the prostate capsule and cut the sinus and postoperative bleeding and urinary incontinence, and can also reduce the incidence of TURS