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目的:观察高危前列腺增生患者经尿道双极等离子体电切术(TUPKVP)术中灌洗液对内环境的影响。方法:30例行TUPKVP的老年高危前列腺增生患者,灌洗液为生理盐水,分别于术前,灌注45、90min和术毕时,测定血电解质、血糖、血红蛋白、红细胞压积和中心静脉压。结果:手术中血红蛋白及红细胞压积轻微降低,中心静脉压在灌注45、90min时较术前升高,血浆电解质、血糖无明显变化。结论:TUPKVP手术中应用生理盐水灌洗液对患者的内环境影响较小,用于高危前列腺增生患者较为合适。
Objective: To observe the effect of intraoperative lavage fluid on the environment by transurethral bipolar plasma electrosurgical (TUPKVP) in patients with benign prostatic hyperplasia (BPH). Methods: Totally 30 elderly patients with benign prostatic hyperplasia (BPH) treated with TUPKVP were given lavage fluid as normal saline. Blood electrolytes, blood glucose, hemoglobin, hematocrit and central venous pressure were measured before and at the end of the operation. Results: Hemoglobin and hematocrit decreased slightly during the operation. The central venous pressure increased at 45 and 90 min after operation, and there was no significant change in plasma electrolytes and blood glucose. Conclusion: The application of saline lavage fluid in TUPKVP surgery has less impact on the internal environment of patients, which is more suitable for patients with high-risk benign prostatic hyperplasia.