经尿道前列腺汽化电切术电切综合征的防治

Prevention and treatment of TURS

目的:探讨经尿道前列腺汽化电切术(TUVP)发生电切综合征(TURS)的原因与防治方法.方法:对320例良性前列腺增生(BPH)患者行TUVP术.术前对伴有高血压等高危患者行内科治疗;术中静脉滴注3%氯化钠溶液,手术时间超过1 h者静脉推注速尿;控制手术时间和创面出血,监测血常规和血钠,术后随访1～3个月.结果:仅6例发生TURS先兆,无TURS发生,未出现死亡病例.结论:在TUVP中,采取综合措施防治TURS能取得较好的效果;其中术中静滴3%氯化钠溶液比静滴林格液更有积极意义,应用利尿剂有较好的促进作用.

Objective：To Analyse the risk factors of transurethral resection syndrome（TURS） at transurethral electrovaporization ablation of prostate（TUVP）, and to improve the treatment efficiency of TUVP. Methods：TUVP was undertaken in 320 cases of symptomatic BPH patients. 3% sodium chloride was transfused intraoperatively, lasix was transfused to the patients when the operative time was above one hour. Blood routine and serum sodium were measured pre and post-operatively. The patients were followed up at 1 and 3 months. Results：There was no patients died and no transurethral resection syndrome（TURS ） cases noted. Concluslons：Skilled TURP technology and short operation time, combined with 3% sodium chloride transfusion could reduce bleeding and occurrence rate of TURS.