经尿道前列腺电切手术并发症及防治(附629例报告) 被引量：3

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摘要目的:探讨经尿道前列腺电切手术(TURP)并发症的原因及防治对策。方法:对629例良性前列腺增生(BPH)患者行TURP术的临床资料进行回顾性总结。结果:并发症包括:尿道前列腺电切综合征(TURS)3例,尿失禁19例(永久性尿失禁1例),膀胱颈挛缩3例,术后出血28例,排尿困难19例。结论:前列腺电切手术并发症原因有多种因素,熟练掌握内镜操作技巧和术前的有效评价及有针对性的预防是减少手术并发症的有效方法。

作者潘毅杨建标李学军王春生唐伟张守福

机构地区巴彦淖尔市临河区人民医院泌尿普外科

出处《包头医学》 2012年第2期76-77,共2页 Journal of Baotou Medicine

关键词经尿道前列腺电切并发症

分类号 R697.3 [医药卫生—泌尿科学]

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参考文献6

1张祥华.良性前列腺增生症诊断治疗指南//那彦群.中国泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社,2007.167-204.
2潘柏年,张凯.提高经尿道前列腺电切术的水平与安全性[J].中华泌尿外科杂志,2009,30(10):653-655. 被引量：33
3游畅,祖雄兵.经尿道前列腺电切综合征的处理[J].中国内镜杂志,2005,11(1):67-68. 被引量：18
4Nunzio C.The evolution of detrusor overractivity after watchful waiting,medical-therapy and surgery in patients with bladder outlet obstruction.J Urol,2003,169:535-539.
5司徒杰,胡成.经尿道前列腺电切术后反复膀胱颈挛缩1例[J].中华腔镜泌尿外科杂志（电子版）,2011,5(2):7-7. 被引量：3
6潘柏年,陶然,杨勇,薛兆英,郭应禄.经尿道治疗小前列腺增生引起的膀胱出口梗阻[J].中华泌尿外科杂志,2000,21(5):291-293. 被引量：53

二级参考文献19

1田兆雄,唐孝达.无膀胱外翻的尿道上裂的临床特征及外科治疗：附8例报告[J].中华泌尿外科杂志,1989,10(3):165-167. 被引量：2
2De Sio M, Autorino R, Quarto G, et al. Gyrus bipolar versus standard monopolar transurethral resection of the prostate: a randomized prospective trail. Urology, 2006, 67: 69- 72.
3Henry H, Sydney Y, Kok L, et al. A prospective randomized study comparing monopolar and bipolar transurethral resection of prostate using Transurethral Resection in Saline (TURIS) system. Eur Urol, 2007, 52: 517- 524.
4Ahyai SA, Lehrich K, Kuntz RM. Holmium laser enuelea tion versus transurethral resection of the prostate: 3-year follow-up results of a randomized clinical trial. Eur Urol, 2007 52: 1456-1464.
5Westenberg A, Gilling P, Kennett K, et al. Holmium laser resection of the prostate versus transurethral reseetion of the prostate: results of a randomized trail with 4 year minimum long-term followup. J Urol, 2004, 172:616- 619.
6Rigatti L, Naspro R, Salonia A, et al. Urodynamics after TURP and HoLEP in urodynamieally obstructed patients: are there any differences at 1 year of follow-up? Urology, 2006, 67:1193- 1198.
7Horasanli K, Silay MS, Altay B, et al. Photoselective potassium titanyl phosphate (KTP) laser vaporization versus transurethral resection of the prostate for prostates larger than 70 mL: a short-term prospective randomized trial. Urology, 2008, 71: 247-251.
8Rassweiler J, Teber D, Kuntz R, et al. Complications of transurethral resection of the prostate (TURP)--incidence, management, and prevention. Eur Urol, 2006, 50: 969-980.
9Wasson JH, Reda DJ, Bruskewitz RC, et al. A comparison of transurethral surgery with watchful waiting for moderate symptoms of benign prostatic hyperplasia. N Engl J Med, 1995, 332:75 -79.
10Reich O, Gratzke C, Bachmann A, et al. Morbidity, morta lity and early outcome of transurethral resection of the pros tate: a prospective multicenter evaluation of 10,654 patients. J Urol, 2008, 180:246 -249.

共引文献104

1蔡纪秋.经尿道前列腺电切术后并发症的预防及护理[J].医学信息（医学与计算机应用）,2016,29(29):205-206. 被引量：3
2刘鹤.高龄前列腺患者气化电切围术期护理干预[J].医学信息（医学与计算机应用）,2014,0(23):378-378.
3耿进成,冯连成,宋国宏,焦江,郎斌,张恩深.小前列腺增生引起膀胱出口梗阻两种术式疗效分析[J].中华泌尿外科杂志,2004,25(7):462-464. 被引量：18
4陈森期,张朝贤,庄志明,郑周达,许振强,林海利.小体积前列腺增生经尿道电切术[J].中国内镜杂志,2004,10(9):52-53.
5陈其武.女性膀胱颈梗阻的诊治体会[J].岭南现代临床外科,2004,4(3):227-228.
6黎明,林炳森,庄仁汉,张淳,章振保.小体积前列腺增生术后膀胱颈梗阻术式分析[J].临床泌尿外科杂志,2005,20(5):267-268. 被引量：2
7李建兴,宋飞,赵谦,郭寰宇,黄伟.保留尿道前列腺切除联合膀胱颈部成形术治疗良性小前列腺增生症[J].山东医药,2003,43(35):12-13. 被引量：1
8方任南,叶朝阳,陈敬洪.经尿道治疗小体积前列腺增生所致膀胱出口梗阻的临床分析[J].国际医药卫生导报,2005,11(16):69-70. 被引量：3
9蒋立城.小体积前列腺增生合并膀胱颈纤维化的诊断治疗现状[J].实用医药杂志,2005,22(8):747-748. 被引量：4
10蒋雷鸣,杨燕伟,葛波,张天禹,覃展偶,曾宪华,李勇平.小体积前列腺增生引起膀胱出口梗阻三种术式疗效的比较[J].中国医师杂志,2005,7(10):1343-1344. 被引量：1

同被引文献24

1[1]吴阶平.吴阶平泌尿外科学.济南:山东科学技术出版社,2006:2064-2065.
2Radomski SB,Herschorn S,Naglie G. Acute urinary retention inmen:a comparison of voiding and nonvoiding patients after prosta-tectomy[J].Urology,2000,(03):685.
3Stoner E. Finasteride MK-906 in the treatment of benign prostatic hyperplasia.The Finasteride Study Group[J].Prostate,1993,(04):291.
4R Varkarakis J,Bartsch C,HorningerW. Long-term morbidity and mor-tality of transurethral prostatectomy:a 10-year follow[J].Prostate,2004,(03):248.
5Oehrborn CG. Standard surgical interventions:TUIP/TURP/OPSU[A].Oxford:ISIS Medical Media,1996.357.
6郭应禄.泌尿外科手术并发症-诊断、预防、与处理[M]北京:科学出版社,2011352.
7Lee YH,Allen W. Comprehensive study of bladder neck contrac-ture after transurethral resection of prostate[J].Urology,2005,(03):498.
8YangQ,Peters TJ,Donovan JL. Transurethral incision com-pared with transurethral resection of the Urology[J].2001,(05):1526.
9王华云.中药穴位导入治疗脊髓损伤后排尿障碍的效果观察[J].中国实用神经疾病杂志,2009,12(10):37-38. 被引量：2
10张海东.前列腺气化电切术后再次排尿困难的原因分析[J].吉林医学,2009,30(20):2399-2400. 被引量：3