摘要
目的探讨经尿道单极前列腺剜除术(TUEP)术中对内环境的影响。方法 2015年6月至10月根据手术时间,22例患者分为A组(<60 min)、B组(60~120 min)。A组术中补充平衡盐溶液1000 ml,B组术中静推速尿10 mg,10%浓钠20 ml,补充平衡盐溶液1500 ml。检测术前术后两组患者血红细胞计数(RBC)、血红蛋白(Hb)、红细胞比容(HCT)、血糖、Na^+浓度,分别做术前术后配对t检验。结果 A组术前术后RBC、Na^+差异无统计学意义,而HCT、Hb、血糖的差异则有统计学意义。B组除Na^+浓度术前术后差异无统计学意义,其余各组差异均有统计学意义。A组与B组各观察指标的比较除红细胞容积变化有统计学意义外,余各项观察指标比较差异均无统计学意义。结论经尿道单极前列腺剜除术,手术时间<60 min对内环境影响不显著,而60~120 min则改变显著,术中加用利尿药和浓Na^+可减缓该影响。
Objective To investigate the effect of transurethral monopolar enucleation prostate（TUREP） on the change of internal environment. Methods According to the operation time, 22 patients were divided into group A（60 min） and B group（60-120 min） from June to October 2015. The preoperative and postoperative red cell count, hemoglobin, hematocrit, Na^＋ concentration were detected respectively, and used paired t test to compare the parameters. Results There were no significant change in red cell count, Na^＋ concentration in group A between preoperative and postoperative, while the changes of hematocrit, hemoglobin, blood glucose had statistical differences. For group B, there had no statistical significance change in every index except red cell count between preoperative and postoperative. For group A and group B, there was no statistical change in every index except red blood cell volume between preoperative and postoperative. Conclusion It has no significant effect on the change of internal environment within 60 min for TUEP, while the red blood cell count, hemoglobin, red blood cell volume significantly decreased in 60-120 minutes. Using diuretics and thick Na^＋ intraoperative can prevent the occurrence of water intoxication.
作者
王永忠
郭文彬
刘建平
梁胜军
高伟
殷振超
Wang Yongzhong Guo Wenbin Liu dianping Liang Shengjun Gao Wei Yin Zhenchao(Department of Urology, Liwan Hospital of Guangzhou Medical College, Guangzhou 510175, china Department of Urology, the third affiliated hospital of Southern medical University, Guangzhou 510360, china)
出处
《中华腔镜泌尿外科杂志（电子版）》
2017年第3期54-57,共4页
Chinese Journal of Endourology(Electronic Edition)
基金
广州市荔湾区科信局课题(20151217065)
关键词
前列腺增生
前列腺剜除术
单极电切
内环境
Benign prostatic hyperplasia
Enucleation of prostate
Monopolar resection
Internal environment
