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目的探讨前列腺增生症合并严重肺功能不全患者经尿道气化电切治疗及围手术期处理方法。方法经尿道气化、电切前列腺增生组织 ,围手术期改善肺功能 ,预防 TURS。结果本组 2 3例患者手术前后血生化指标测定无明显变化 ,2 0例顺利通过围手术期 ,术后2例肺不张 ,1例支气管肺炎。平均随访 8个月 ,排尿梗阻症状明显改善。结论只要围手术期处理方法得当 ,经尿道气化电切术适合前列腺增生症合并严重肺功能不全患者
Objective To investigate the transurethral electrovaporization and perioperative management of benign prostatic hyperplasia patients with severe pulmonary insufficiency. Methods Transurethral vaporization, resection of benign prostatic hyperplasia, perioperative pulmonary function improvement, prevention of TURS. Results There were no significant changes in blood biochemical parameters in 23 patients before and after operation, 20 patients passed perioperative period successfully, 2 patients had atelectasis and 1 patient had bronchopneumonia after operation. The average follow-up of 8 months, urinary obstruction symptoms improved significantly. Conclusion As long as the perioperative management is appropriate, transurethral electrovaporization is suitable for benign prostatic hyperplasia patients with severe pulmonary insufficiency