国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (5): 566-569.

• 讲座 • 上一篇    下一篇

解读宫腔镜手术并发症——TURP综合征

黄晓武，夏恩兰   

  1. 100038 北京，首都医科大学附属复兴医院宫腔镜诊治中心
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-10-15 发布日期:2014-10-15

Interpretation on Complication of Hysteroscopic Surgery--Transurethral Resection of Prostate Syndrome

HUANG Xiao-wu，XIA En-lan   

  1. Hysteroscopic Center，Fuxing Hospital，Capital Medical University，Beijing 100038，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-10-15 Online:2014-10-15

PDF (PC)

4942

被引次数

16

摘要： 宫腔镜手术TURP综合征是由于膨宫压力和灌流介质的作用，灌流液大量吸收引起体液超负荷和（或）稀释性低钠血症等一系列临床症状，如诊治不及时可致死亡，是宫腔镜手术中的严重并发症之一。分析4个典型临床病例，解读TURP综合征的病理生理学变化，指出相对的高压灌流+切割创面大面积血窦开放是TURP综合征发生的主要因素，并阐述这一并发症的预防措施和治疗原则，强化安全意识，以减少这一并发症的发生。

关键词: 宫腔镜, 宫腔镜检查, 心力衰竭, 低钠血症, TURP综合征

Abstract: Transurethral resection of prostate （TURP） syndrome during hysteroscopic surgery is a severe complication due to the absorption of irrigating fluids and pressure in uterine cavity, fluid overload and/or dilution hyponatremia cause a series of clinical symptoms. It can be a dread complication if it is not timely diagnosed and treated. The relevant pathophysiology of TURP syndrome was discussed through the analysis on four typical cases, the relative major factors include high-pressure perfusion and venous sinuses open during the surgery. The principles of preventive measures and treatments of this complication were discussed in order to strengthen the safety awareness of doctors, to reduce the incidence of this complication.

Key words: Hysteroscopes, Hysteroscopy, Heart failure, Hyponatremia, Transurethral resection of prostate syndrome