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目的 探讨改良POSSUM评分系统在前列腺电切术 (transurethralresectionoftheprostate ,TURP)后并发症评估中的临床价值以及TURP后并发症发生的原因及预防。 方法 回顾性分析 3 3 6例TURP术后并发症情况 ,用改良POSSUM评分系统 (在生理学指标中以Cr代替BUN ,在手术侵袭度中将“多种手术同时进行”改为“前列腺体积” ,手术侵袭性根据泌尿外科情况分 4级 )进行评分 ,并按Copeland并发症发生率计算公式 ,比较实际并发症人数与预测发病数 ,同时比较有、无并发症组POSSUM评分间的差异。结果 用改良POSSUM评分预测并发症人数 79例 ,与实际并发症人数 66例之间差异无显著性意义 (P =0 .3 5 89)。无并发症组在年龄、生理学评分和手术侵袭度评分上均低于并发症组 ,差异有显著性 (P <0 .0 5 )。结论 改良POSSUM评分系统可正确评价TURP手术预后。根据评分结果应在围手术期加强监测及器官支持治疗 ,有助于减少并发症的发生
Objective To investigate the clinical value of improved POSSUM scoring system in the evaluation of complications after transurethral resection of heprostate (TURP) and the causes and prevention of complications after TURP. Methods Retrospective analysis of 336 cases of postoperative complications of TURP, with improved POSSUM scoring system (physiological indicators in the replacement of BUN Cr, surgical invasiveness in the “multiple operations simultaneously” to “prostate volume” The surgical invasiveness was classified into 4 grades according to the urological status. The formula of Copeland’s complication rate was used to compare the number of actual complication and the predicted morbidity, and to compare the difference of the POSSUM score of the group with and without complication. Results There were no significant differences in the number of complications predicted by the improved POSSUM score between 79 and 66 cases of actual complications (P = .359 89). Complication group was lower than the complication group in age, physiological score and surgical invasiveness score, the difference was significant (P <0.05). Conclusion The modified POSSUM scoring system can correctly evaluate the prognosis of TURP. According to the results of the scoring should be strengthened during perioperative monitoring and organ supportive treatment, helps to reduce the incidence of complications