摘要
目的总结汽化术中发生经尿道电切综合征的主要因素.方法结合实验模型回顾性分析经尿道前列腺电汽化术早期术中发生11例经尿道电切综合征的临床资料.结果11例经尿道电切综合征术中灌注压均在65 cmH2O以上,严重的经尿道电切综合征有2例,先兆经尿道电切综合征有9例,经过及时处理均转危为安.结论经尿道电切综合征的发生与灌注压密切相关,控制进水压在40～60 cmH2O范围,及时排空膀胱中的积气,应用经尿道前列腺电汽化切除术联合经尿道前列腺电切术,达到防止或减少经尿道电切综合征的目的.
Objective: The main factors of making transurethral resection syndrome (TURS) were summed up in electrovaporization. Methods: It was analyzed by reviewed 11 cases data of TURS with experiment model in the TUVP. Results: Among the operation of 11 cases of TURS perfusion pressure existed above 65 cmH2O, severe TURS was 2 cases, foreboding TURS was 9 cases, all them cases were treated in time. Conclusions: Taking place of TURS is very correlation with perfusion pressure. If the hydraulic pressure of TUVP is controlled between (40~60) cmH2O and the gas of bladder is pressed empty in time. Conbining with skill of TUVP and TURP, it could come true to avoid and reduce TURS.
出处
《中国内镜杂志》
CSCD
2004年第9期27-28,共2页
China Journal of Endoscopy
关键词
经尿道前列腺电汽化术
灌注压
经尿道电切综合征
transurethral electrovaporization
perfusion pressure
transurethral resection syndrome
