经尿道切除前列腺(TURP),国外已广泛应用,约占前列腺切除术的60—95％。近年来国内亦在试用,为了有益于开展这项工作,就其有关的几个问题,综述如下: (一)失血问题 TURP的失血量,各家报导差异很大,平均由89—673ml(Mackenzie,1979)。近年来由于器械的改进和技术的改善,一般均认为较开放手术为少;但是,在技术的掌握尚未熟练之前,反而较多,亦已为一些作者所指出(吴德诚,1982;霍光莹等,1981)。出血可区别为手术失血和后出血两类。 1.手术失血:主要发生在术中和术后八小时内,如出血急骤,可造成严重威协。常见的原因为: ①超越切除边界:最常见于上界,越过了腺体与 Transurethral resection of the prostate (TURP), has been widely used abroad, accounting for about 60-95% of prostatectomy. In recent years, the domestic trial is also in order to be beneficial to carry out this work on several issues related to it, are summarized as follows: (a) blood loss TURP blood loss, various reports vary widely, with an average of 89-673ml (Mackenzie , 1979). In recent years, improvements in equipment and improvements in technology are generally considered to be less than those in open surgery. However, prior to the mastery of technology, it has been more pointed out by some authors (Wu et al., 1982; Huo Guangying et al. 1981). Bleeding can be distinguished as two types of postoperative bleeding and bleeding. 1. Surgery blood loss: mainly occurs during and within eight hours after surgery, such as sudden bleeding, can cause serious threat. Common reasons are: ① beyond the cut border: the most common in the upper bound, crossed the gland and