应用改良的克拉文分级系统对双相障碍并发症进行分类

Anurag Dubey, Shivendra Tiwari, P. Patel, Avinash P. S. Thakur
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摘要

TURP被认为是治疗前列腺增生的金标准。TURP于1929年由Maximilian Stern首次提出。TURP的并发症较少,但不是绝对的。改良Clavien Dindo分级系统是一种完善的术后并发症分级系统。本研究的目的是使用改良的Clavien分级系统来评估双相TURP的并发症。目的:探讨应用改良Clavien分级系统评价双极经尿道前列腺切除术术后并发症的价值。材料与方法:回顾性分析2019年4月至2021年3月在印度泰米尔纳德邦Meenakshi教会医院实施的110例双极TURP。所有患者的各种并发症采用改良Clavien分级系统分为5级。结果:110例患者入组,其中21例(19.9%)出现并发症,无死亡。21人中;I级11人(52.4%),II级5人(23.8%),IIIa级2人(9.5%),IIIb级1人(4.8%),IVa和IVb级各1人(4.8%)。结论:改良Clavien分级系统是一种简便可行的术后并发症分级系统。尽管有各种各样的缺点,它是非常有用的分级终末泌尿外科手术双极TURP短期并发症。
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USING THE MODIFIED CLAVIEN GARDING SYSTEM TO CLASSIFY COMPLICATIONS OF BIPOLAR TURP
introduction: TURP is considered gold standard treatment for BPH. TURP was first introduced in 1929 by Maximilian Stern. Complications in TURP are less but not absolute. Modified Clavien Dindo Grading System is well-established classification for post-operative complications. Objective of this study is to assess complications of BIPOLAR TURP by using the modified Clavien grading system. Objective: To assess the evaluation of complications after bipolar transurethral resection of prostate using the Modified Clavien grading system. Materials And Methods: 110 BIPOLAR TURP performed between April 2019 and March 2021 at Meenakshi mission hospital Madurai Tamilnadu India were reviewed retrospectively. All patients with various complications were graded using Modified Clavien grading system in 5 grades. Results: 110 cases were enrolled in our study out of them 21 (19.9%) patients developed complications there was no mortality. Out of 21; 11 (52.4%) grade I, 5 (23.8%) grade II, 2 (9.5%) grade IIIa, 1 ( 4.8%) grade IIIb, 1 (4.8%) in each grade IVa and IVb. Conclusion: Modified Clavien Grading System is an easy and feasible classification system for postoperative complications. In spite of various shortcomings, it is very useful to grade end-urological procedure BIPOLAR TURP short-term complications.
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