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经耻骨上引流的经尿道前列腺切除术后的“经尿道电切综合征”

"TUR syndrome" after transurethral resection of the prostate using suprapubic drainage.

作者信息

Weis N, Jørgensen P E, Bruun E

机构信息

Department of Urology H, Gentofte Hospital, University of Copenhagen, Denmark.

出版信息

Int Urol Nephrol. 1987;19(2):165-9. doi: 10.1007/BF02550468.

DOI:10.1007/BF02550468
PMID:3667130
Abstract

In a retrospective study of 522 consecutive patients who were subjected to transurethral resection of the prostate with suprapubic trocar technique, six patients were suspected of having transurethral prostatic resection syndrome. The majority of the transurethral resections were performed by surgical or urological trainees. Only two patients fulfilled the criterion for TUR syndrome caused by absorption of irrigating fluid and defined as an electrolyte dilution corresponding to a plasma sodium level below 120 mmol/l. In the present paper the symptomatology and treatment of TUR syndrome are outlined with reference to the literature. The trocar technique clearly has minimized the risk of TUR syndrome, which emphasizes the value of the method.

摘要

在一项对522例连续接受耻骨上套管针技术经尿道前列腺切除术患者的回顾性研究中,6例患者疑似发生经尿道前列腺切除综合征。大多数经尿道切除术由外科或泌尿外科实习医生进行。只有2例患者符合因冲洗液吸收导致的经尿道电切综合征的标准,该综合征定义为血浆钠水平低于120 mmol/l的电解质稀释。本文参考文献概述了经尿道电切综合征的症状和治疗。套管针技术明显降低了经尿道电切综合征的风险,这突出了该方法的价值。

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Comparison of fluid absorption during transurethral resection of prostate and Holmium-Yag laser enucleation of benign adenoma of prostate using breath ethanol concentration.利用呼气乙醇浓度比较经尿道前列腺切除术与钬激光前列腺良性腺瘤剜除术中的液体吸收情况。
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Is the ability to perform transurethral resection of the prostate influenced by the surgeon's previous experience?

本文引用的文献

1
Coma from hyponatremia following transurethral resection of prostate.经尿道前列腺切除术后低钠血症所致昏迷
Urology. 1980 Mar;15(3):267-71. doi: 10.1016/0090-4295(80)90441-0.
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[Transurethral prostatic resection using a suprapublic trocar].经耻骨上套管针行经尿道前列腺切除术
Ugeskr Laeger. 1982 Oct 11;144(41):3013-6.
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Transurethral prostatic resection syndrome--a new perspective: encephalopathy with associated hyperammonemia.经尿道前列腺切除术综合征——一种新视角:伴有高氨血症的脑病
经尿道前列腺切除术的操作能力会受到外科医生既往经验的影响吗?
Clinics (Sao Paulo). 2008 Jun;63(3):315-20. doi: 10.1590/s1807-59322008000300005.
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[Transurethral resection of bladder tumors and prostate enlargement in physiological saline solution (TURIS). A prospective study].[经尿道在生理盐溶液中切除膀胱肿瘤及前列腺增生(TURIS)。一项前瞻性研究]
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Posttransurethral prostatic resection hyponatremic syndrome: case report and review of the literature.经尿道前列腺切除术后低钠血症综合征:病例报告及文献复习
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Transurethral prostatic resection with suprapubic trocar technique.经尿道前列腺切除术联合耻骨上套管针技术
J Urol. 1984 Aug;132(2):277-9. doi: 10.1016/s0022-5347(17)49589-9.
6
Serum acid phosphatase elevation associated with transurethral resection syndromes.血清酸性磷酸酶升高与经尿道切除综合征相关。
Urology. 1983 Oct;22(4):388-90. doi: 10.1016/0090-4295(83)90416-8.
7
Changes in oncotic pressure, osmolality and electrolytes following transurethral resection of the prostate using glycine as irrigating solution.使用甘氨酸作为灌洗液经尿道前列腺切除术后胶体渗透压、渗透压和电解质的变化
Scand J Urol Nephrol. 1983;17(1):31-6. doi: 10.3109/00365598309179777.
8
Preventing transurethral resection syndrome.预防经尿道切除综合征
Lancet. 1983 Jun 18;1(8338):1382. doi: 10.1016/s0140-6736(83)92162-1.
9
Clinical and experimental evaluation of different irrigating fluids for transurethral surgery.经尿道手术中不同冲洗液的临床与实验评估
Invest Urol. 1965 Sep;3(2):122-9.
10
Observations on cardiac output, blood volume, central venous pressure, fluid and electrolyte changes in patients undergoing transurethral prostatectomy.经尿道前列腺切除术患者的心输出量、血容量、中心静脉压、液体及电解质变化观察
J Urol. 1970 May;103(5):632-6. doi: 10.1016/s0022-5347(17)62017-2.