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目的:探讨经尿道前列腺切除术(TURP)的可行性、存在问题及解决措施。方法:选择2001年11月~2007年4月在喀什地区及周围部分地区各级医院2 070例良性前列腺增生(BPH)患者,均行TURP。结果:TURP手术顺利,平均手术时间52.9 min,平均切除前列腺组织35.9 g,术中平均出血量45 ml;术后平均膀胱冲洗时间2.25 d,留置尿管时间5.14 d,住院时间12.44 d。术中输血5例,术后第1天输血9例。发生电切综合征(TURS)1例,膀胱爆裂1例,二次电切镜下止血7例。结论:开展TURP术须严格掌握手术适应证,加强术后管理。
Objective: To investigate the feasibility, problems and solutions of transurethral resection of prostate (TURP). Methods: From November 2001 to April 2007, 2 070 cases of benign prostatic hyperplasia (BPH) in hospitals of all levels in and around Kashgar were enrolled. TURP was performed. Results: TURP was performed smoothly with an average operation time of 52.9 min. The mean prostate removal was 35.9 g. The average intraoperative blood loss was 45 ml. The mean bladder irrigation time was 2.25 days, the catheterization time was 5.14 days and the hospitalization time was 12.44 days. Intraoperative blood transfusion in 5 cases, 9 days after the first day of blood transfusion. TURS occurred in 1 case, 1 case of bladder rupture, secondary resectoscope in 7 cases of hemostasis. Conclusion: To carry out TURP surgery should be strictly controlled indications, to strengthen postoperative management.