摘要
目的:探讨重症经尿道电切综合征(TURS)发生的主要原因,降低发生率,减少致死率。方法:对100例经尿道前列腺切除术(TURP)中19例TURS患者资料进行回顾性分析。另对10例膀胱造瘘加TURP患者术中作膀胱内静水压的监测分析。结果:初学者TURS发生率高达19%;重症TURS均有静脉窦破裂、手术出血多、手术时间超过90min。结论:重症TURS的主要原因是手术时间长,静脉窦破裂和机体肾、心、肺等重要器官的代偿能力低。连续灌洗式TURP灌洗输出道引流不畅时膀胱静水压迅速升高是TURS的重要因素。
Objective：To explore the cause of serious TURS, and to reduce the incidence rate and fatality rate.Methods：Clinical data of the first 100 cases of TURP in our hospital, including 19 cases with TURS. were reviewed. We also rnonhored the bladder static pressure in 10 cases intraoperatively. Results： The incidence of TURSin beginner,s was 19%. The serious and secondary TURS oecured under these conditions： prostatic membrane perforating.operating time≥90 minates, the serious intraoperative losing blood. The bladder static pressure of continous irrigation during TURP was 5-10 cmH2O. It had no relation to the pressure of irrigation. The bladder statie water pressure rose rapidly when irrigation drain obstructed. Conclusions： Theocurrence of TURS is related to operater＇s skill. The main cause of serious TURS is prostatic capsule perferation and vein antra rapture and prolong of operating tirne. The elevation of bladder static pressure due to the obstruction of irrigation drainage also contributes to TURS.
出处
《临床泌尿外科杂志》
2005年第8期474-475,共2页
Journal of Clinical Urology
