前列腺电切术中防治电切综合征的临床体会（附318例病例报告）

廖肇州; 郑剑; 袁野; 杨凡

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前列腺电切术中防治电切综合征的临床体会（附318例病例报告）

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- 前列腺电切术中防治电切综合征的临床体会（附318例病例报告）
- Study of the preventions and treatments of transurethral resection syndrome during transurethral resection of prostate(with a report of 318 case)
- 重庆医科大学学报 2011年36卷第10期页码：1268-1270
- 作者机构：
  
  1. 重庆市第十三人民医院泌尿外科
  2. 重庆市丰都县人民医院外三科
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R699.8
- 纸质出版日期：2011，
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[1]廖肇州,郑剑,袁野,杨凡.前列腺电切术中防治电切综合征的临床体会(附318例病例报告)[J].重庆医科大学学报,2011,36(10):1268-1270.

LIAO Zhao-zhou1, ZHENG Jian2, YUAN Ye1, et al. Study of the preventions and treatments of transurethral resection syndrome during transurethral resection of prostate(with a report of 318 case)[J]. Journal of Chongqing Medical University, 2011,36(10):1268-1270.
[1]廖肇州,郑剑,袁野,杨凡.前列腺电切术中防治电切综合征的临床体会(附318例病例报告)[J].重庆医科大学学报,2011,36(10):1268-1270. DOI：

LIAO Zhao-zhou1, ZHENG Jian2, YUAN Ye1, et al. Study of the preventions and treatments of transurethral resection syndrome during transurethral resection of prostate(with a report of 318 case)[J]. Journal of Chongqing Medical University, 2011,36(10):1268-1270. DOI：

摘要

目的:探讨前列腺电切术（Transurethral resection of prostate

TURP）中术后前列腺电切综合征（Transurethral resectionsyndrome

TURS）的防治。方法:对318例前列腺增生患者TURP手术时间、术中是否发生包膜穿孔、是否使用利尿剂和诊治情况进行回顾性分析。结果:19例发生包膜穿孔的患者中有14例发生TURS（73.7%）;16例手术时间超过90 min的患者中有9例发生TURS（56.3%）;对36例手术时间超过60 min的患者

23例预防性使用利尿剂后TURS发生率为23.1%;13例未预防性使用利尿剂TURS发生率为38.4%。包膜穿孔和手术时间过长可显著提高TURS的发生率（P<0.05）;对超过60 min的患者预防性应用利尿剂可以显著降低TURS发生率（P<0.05）。结论:尽量避免包膜穿孔和手术时间过长是预防TURS的有效手段

对于手术时间过长（超过60 min）的患者预防性使用利尿剂可以有效降低TURS的发生率。

Abstract

Objective:To study the preventions and treatments of transurethral resection syndrome(TURS) during transurethral resection of prostate(TURP).Methods:Three hundred and eighteen cases of benign prostatic hyperplasia undergoing TURP were included in this retrospective analysis.Data were analyzed in terms of the operation time

the perforation of prostate capsule

diuretic use and the incidence of TURS.Results:Among 19 cases with the perforation of prostate capsule

14 cases were diagnosed as TURS(73.7 percent)

and among 16 cases with long operating time(over 90 minutes)

9 cases diagnosed as TURS(56.3 percent).For 36 cases with long operating time(over 60 minutes)

the incidence of TURS was 23.1% with the prophylactic use of diuretics

and the incidence was 38.4% without the prophylactic use of diuretics.The perforation of prostate capsule and long operating time significantly increased the incidence of TURS(P<0.05)

and the prophylactic use of diuretics significantly reduced the incidence of TURS(P<0.05) in the cases with long operating time(over 60 minutes).Conclusion:Avoiding the perforation of prostate capsule and shortening the operating time are the effective measures in the prevention of TURS

and the prophylactic use of diuretics is necessary in the cases with long operating time(over 60 minutes).

关键词

前列腺电切术电切综合征临床体会

Keywords

transurethral resection of prostate(TURP)transurethral resection syndrome(TURS)clinical study

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