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目的减少和避免经尿道前列腺汽化电切术后并发症的发生,总结早期处理措施。方法对274例经尿道前列汽化电切术病人的手术过程及术后并发症的处理进行回顾性分析。结果手术时间过长、电切前未充分汽化、焦痂及凝固层未修整与TUR综合征的发生、术中术后出血、尿失禁、尿道狭窄的发生密切相关。结论将汽化电切结合起来交替应用,尽量缩短手术时间是预防经尿道前列腺汽化电切术后并发症发生和早期处理的技术关键。
Objective To reduce and avoid the complications of transurethral vaporization of the prostate and summarize the early treatment measures. Methods 274 cases of transurethral vaporization of the prostate and the surgical treatment of postoperative complications were retrospectively analyzed. Results The operation time was too long before the electrosurgical incision was not fully vaporized. The unfinished eschar and coagulation layer were closely related to the occurrence of TUR syndrome, intraoperative and postoperative bleeding, urinary incontinence and urethral stricture. Conclusions It is the key to prevent the occurrence of complications and early treatment of transurethral vaporization of the transurethral vaporization by combining vaporization and electrotomy combined with alternation to shorten the operation time.