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目的探讨提高良性前列腺增生合并糖尿病围手术期安全性的措施。方法回顾性分析37例良性前列腺增生合并糖尿病患者经尿道前列腺汽化术(TUVP)的围手术期处理。结果35例排尿满意,2例口服α受体阻滞剂达到满意排尿,2例并发前列腺电切综合症(TURS),1例脑血栓,2例冠心病心绞痛发作,未发生低血糖反应、糖尿病高渗性昏迷及酮症酸中毒。结论良性前列腺增生合并糖尿病患者在围手术期密切监测其血糖,应用胰岛素严格控制血糖,TUVP术是安全有效的。
Objective To explore the measures to improve the perioperative safety of benign prostatic hyperplasia with diabetes mellitus. Methods The perioperative management of transurethral vaporization of the prostate (TUVP) in 37 patients with benign prostatic hyperplasia (DM) complicated with diabetes mellitus was retrospectively analyzed. Results Satisfactory micturation was found in 35 cases, satisfactory micturition in 2 cases of oral α - blocker, 2 cases of TURS, 1 case of cerebral thrombosis, 2 cases of coronary heart disease angina pectoris, no hypoglycemia, diabetes Hyperosmolar coma and ketoacidosis. Conclusions BPH is closely monitored during perioperative period in patients with benign prostatic hyperplasia and diabetes mellitus. TUVP is safe and effective with insulin strictly controlled blood sugar.