Goel C M, Badenoch D F, Fowler C G, Blandy J P, Tiptaft R C
Department of Urology, London Hospital, UK.
Eur Urol. 1992;21(1):15-7. doi: 10.1159/000474792.
Significant hyponatraemia has been reported following transurethral prostatectomy (TURP) in 11-41% of cases. The majority of previous studies have been performed retrospectively. A prospective study was undertaken of 100 patients undergoing TURP. In all, a 24-Charr sheath with non-irrigating, resectoscope and 1.5% glycine as irrigant was used. Volume of irrigant used, weight of prostate and length of procedure were recorded. Serum electrolytes were measured at anaesthetic induction and immediately on transfer to the recovery room. In none of the 100 patients was there a statistically significant fall in serum sodium following resection. No clinical changes of transurethral resection (TUR) syndrome occurred. This study confirms that TUR syndrome and a significant fall in serum sodium can be virtually prevented in TURP and the use of an irrigating resectoscope or a trocar in the average case is not necessary.
据报道，经尿道前列腺电切术（TURP）后11%-41%的病例出现显著低钠血症。此前大多数研究都是回顾性的。对100例行TURP的患者进行了一项前瞻性研究。总共使用了带有非灌洗功能的24号鞘、电切镜以及1.5%的甘氨酸作为灌洗液。记录了灌洗液的使用量、前列腺重量和手术时长。在麻醉诱导时以及转入恢复室后立即测定血清电解质。100例患者中无一例在切除术后血清钠出现统计学上的显著下降。未发生经尿道电切（TUR）综合征的临床变化。这项研究证实，在TURP中几乎可以预防TUR综合征和血清钠的显著下降，一般情况下无需使用灌洗电切镜或套管针。
