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目的探讨经尿道前列腺电切术(TURP)术中、术后常见并发症及其产生原因和处理方法,进一步提高手术安全性和有效性。方法回顾性分析1998-2008年我院726例TURP治疗良性前列腺增生(BPH)的临床资料,并对发生各种并发症的原因及处理方法进行总结分析。结果本组无死亡病例。平均手术时间为83min,发生电切综合征(TURS)16例(2.2%),术后出血8例(1.1%),包膜穿孔尿外渗6例(0.8%),暂时性尿失禁17例(2.3%),未发生永久性尿失禁,排尿困难及尿道狭窄21例(3.0%),尿路感染11例(1.5%),性功能障碍30例(4.1%)。结论TURP是治疗BPH安全有效的外科治疗方法,其并发症大多与手术操作熟练程度及适应证选择有关。大部分并发症经及时正确处理,不会产生严重后果。
Objective To investigate the common postoperative complications and its causes and management methods during transurethral resection of prostate (TURP) to further improve the safety and effectiveness of surgery. Methods The clinical data of 726 patients with benign prostatic hyperplasia (BPH) treated by TURP in our hospital from 1998 to 2008 were retrospectively analyzed. The causes and treatment of various complications were summarized. Results of this group no deaths. The average operation time was 83 minutes. TURS occurred in 16 cases (2.2%), postoperative bleeding in 8 cases (1.1%), perforation of capsule perforation in 6 cases (0.8%), temporary urinary incontinence in 17 cases (2.3%), no permanent urinary incontinence, dysuria and urethral stricture in 21 cases (3.0%), urinary tract infection in 11 cases (1.5%) and sexual dysfunction in 30 cases (4.1%). Conclusion TURP is a safe and effective surgical treatment of BPH. The complications are mostly related to the proficiency of surgical operation and the choice of indications. Most of the complications of the timely and correct treatment, will not have serious consequences.