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耻骨上经膀胱前列腺切除术后并发症分析及防治

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目的:探讨耻骨上经膀胱前列腺切除术后并发症的发生情况,分析其并发症的防治方法。方法:选取我院2006年3月至2014年3月期间50例前列腺增生患者作为研究对象,所有患者均行耻骨上经膀胱前列腺切除术,其中48例采用硬脊膜外麻醉,2例因其他原因采用气管内麻醉,回顾性分析,所有患者术后并发症的发生情况。结果:本组患者术后并发症发生率为50%,其中膀胱痉挛占24%,切口感染占12%,尿道外口狭窄与应激性溃疡各占4%,临时性尿失禁、肺部感染、短时漏尿病例各占2%。所有患者均给予相应的治疗后,均已痊愈。结论:耻骨上经膀胱前列腺摘除术具有安全可靠,根治率高,复发率低,易于操作的优点,但本术式术后并发症发生率较高,应不断地提高手术操作技能,加强术后护理,减少术后并发症的发生。
Objective:To investigate the incidence of transvesical prostatectomy complications after suprapubic, control method is applied to analyze the complications. Methods:50 cases of benign prostatic hyperplasia patients during 2006 to 2014 in our hospital were chosen in March March as the object of study, al patients underwent suprapubic transvesical prostatectomy, including 48 cases with epidural anesthesia, 2 cases due to other reasons by endotracheal anesthesia, retrospectively, the occurrence of complications in all patients after operation. Results:the occurrence rate of complications was 50%in this group of patients with postoperative bladder spasm, which accounted for 24%, incision infection accounted for 12%, urethral stricture and stress ulcer each accounted for 4%, temporary inconti-nence, pulmonary infection, short- time urine leakage cases each accounted for 2%. All patients were given corresponding treatment, were all cured. Conclusion:the suprapubic transvesical prostatectomy is safe and reliable, high cure rate, low recurrence rate, easy to op-erate, but the postoperative complication rate is high, should constantly improve surgical skills, strengthen the nursing after the operation, reduce the occurrence of postoperative complications.

transurethral resection of the prostatecomplicationprevention

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安徽省肥西县中医院 231200

前列腺切除术 并发症 防治

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(3)
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