前列腺增生患者电切术发生电切综合征的危险因素分析

Analysis on the Risk Factors of Postoperative Transurethral Resection Syndrome in Patients with Prostatic Hyperplasia

目的探讨前列腺增生患者行经尿道电切术后发生电切综合征的相关危险因素。方法以我科接受经尿道前列腺电切治疗的335例良性前列腺增生患者为研究对象,分析电切综合征的发生概率及相关危险因素。结果电切综合征的危险因素依次为切除前列腺重量≥30 g、手术欠熟练、合并慢性基础疾病、手术时间≥90 min、术中需输血、膀胱或前列腺包膜穿孔,对高危者进行预防处理可防止电切综合征的发生。结论对于手术时间长、切除体积大、术中需输血、出现包膜穿孔或合并慢性基础疾病者,应密切观察,防止电切综合征的发生;而增强手术熟练程度及进行积极的预防处理,可减少其发生。

Objective To explore the related risk factors of transurethral resection syndrome（TURS） after transurethral resection of the prostate（TURP） in patients with prostatic hyperplasia.Methods 335 benign prostatic hyperplasia patients with TURP in our department were selected as the research objects to analyze the incidence of TURS and its related risk factors.Results The risk factors of TURS were as followed： the weight of resected prostate tissue ≥30 g,inexperienced operative skills,complicated with basic chronic illness,operation time ≥90 min,operative blood transfusion,and perforation of bladder or prostate capsule.Preventive treatment for patients with high risk could prevent the occurrence of TURS.Conclusions Patients with long operation time,large size of resected,operative blood transfusion,perforation of capsule or complicated with basic chronic illness should be observed carefully to prevent the occurrence of TURS.The strengthened operative skill level and positive treatment for complications can reduce the incidence of TURS.