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前列腺增生电切术并发症的防治
http://www.100md.com 2011年8月15日 《中国中医药咨讯》 2011年第16期
     【摘要】 目的 探讨前列腺增生电切术并发症的防治措施;方法 对2009年1月至2011年1月我院采用汽化电切术治疗的前列腺增生患者453例的临床资料进行回顾性分析;结果 术中并发症:4例发生前列腺电切综合症,4例发生大出血,2例发生膀胱前列腺交界处穿孔;术后随访1个月~2.5年,术后并发症:16例发生尿路感染,10例发生尿失禁,5例发生尿道狭窄,2例术后继发出血;结论术中要把握好各项操作标准,避免手术失误而引起诸多问题。对中心静脉压及血清钠密切监视,这对于控制前列腺增生经尿道电切术并发症十分重要。

    【关键词】 前列腺增生;电切术;并发症;防治

    Prostatic hyperplasia electricity cut method complications prevention and treatment

    【Abstract】 objective to explore the prostatic hyperplasia electricity cut method complications; the measures of prevention Methods from January 2009 by January 2011 from vaporizing electricity cut prostate hyperplasia surgical treatment of patients with clinical data of 453 patients were retrospectively analyzed; Results intraoperatie complications: 4 cases had prostate electricity cut syndrome, 4 cases had massive haemorrhage, 2 cases had prostate junction bladder perforation; Follow-up of 1 month to 2.5 years, the postoperative complications: 16 case occurred urinary infection, 10 cases had incontinence, 5 cases occur urethral stricture, 2 cases of postoperative secondary hemorrhage; Conclusion intraoperative should grasp the operation standard, avoid surgical errors and cause many problems. To central enous pressure and serum sodium closely monitor, this to control prostatic hyperplasia transurethral electricity cut method complications is very important. ......

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