良性前列腺增生合并糖尿病TUVP的围手术期处理(附37例分析)

Perioperative management of TUVP for benign prostatic hyperplasia associated with diabetes (analysis of 37 cases)

目的探讨提高良性前列腺增生合并糖尿病围手术期安全性的措施。方法回顾性分析37例良性前列腺增生合并糖尿病患者经尿道前列腺汽化术(TUVP)的围手术期处理。结果35例排尿满意,2例口服α受体阻滞剂达到满意排尿,2例并发前列腺电切综合症(TURS),1例脑血栓,2例冠心病心绞痛发作,未发生低血糖反应、糖尿病高渗性昏迷及酮症酸中毒。结论良性前列腺增生合并糖尿病患者在围手术期密切监测其血糖,应用胰岛素严格控制血糖,TUVP术是安全有效的。

Objective To elevate the perioperative security of TUVPfor benign prostatic hyperplasia（BPH） associated with diabetes. Methods The clinical data of perioperative management of TUVP for 37 cases of BPH associated with diabetes were retrospectively analyzed. Results 35 cases recovered well and were voided with a good stream. 2 cases complained of voiding difficulty. 2 cases had TURS, cerebral embolism occurred in 1 and angina pectoris occurred in 2 paitients. No hypoglycemia, no diabetic hyperosmotic coma and ketoacidosis happened. Conclusion Blood glucose should be examined strictly in perioperative period of BPH associated with diabetes. With strict glycemic control and reasonable insulin administration, TUVP is valuable and safe therapeutic option.