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目的 总结 86例经尿道前列腺切除术 (TURP)操作体会 ,探讨经尿道前列腺切除综合征 (TURS)的预防措施。方法86例前列腺肥大症患者行经尿道前列腺切除术 ,术中低压灌洗 ,控制手术时间少于 1 5h ,术中和术后静脉注射速尿 2 0～ 40mg。 结果 无 1例出现TURS、前列腺包膜及膀胱穿孔、尿外渗等并发症。结论 前列腺包膜穿孔及静脉窦切开为TURS的主要成因 ,术中低压灌洗、控制手术时间、适量使用利尿剂等为预防TURS的重要措施。
Objective To summarize the experience of 86 cases of transurethral resection of the prostate (TURP) and explore the preventive measures of transurethral resection syndrome (TURS). Methods Totally 86 patients with benign prostatic hypertrophy underwent transurethral resection of the prostate and intraoperative low pressure lavage to control the operation time less than 15 hours. Intraoperative and postoperative intravenous furosemide 20 ~ 40mg. Results No cases of TURS, prostate capsule and bladder perforation, urinary leakage and other complications. Conclusions Prostatic capsular perforation and venous sinus incision are the main causes of TURS. Intraoperative low pressure lavage, control of operation time and appropriate use of diuretics are important measures to prevent TURS.