摘要
目的 对经尿道前列腺电切术（TURP））术后出血的病例进行临床分析,为减少术后出血的发生,改善患者的预后提供依据.方法 对2000年1月～2008年12月笔者所在医院37例TURP术后出血的原因进行分析,根据不同的原因,选择防治方案.结果 高危良性前列腺增生（BPH）和围手术期的不恰当处理是TURP术后出血的主要原因.本组37例经处理后均治愈出院.其中33例经一般治疗后出血缓解 2例于电切镜下冲洗血凝块并行创面电凝止血后好转 2例行膀胱切开清除血块后缓解.结论 完善术前检查和充分的术前准备,熟练的手术操作和细致的术后管理是减少TURP术后出血的关键.
Objective To explore how to reduce hemorhage after transurethral resection of prostate（TURP）. Methods A total of 37 patients of hemorrhage after TURP from January 2000 to December 2008 in our hospital were analyzed. The patients were treated with different methods according to different causes. Results High - risk benign prostatic hyperplasia and improper preoperative management were the main causes of hemorrhage after TURP; All the 37 patients achieved well controll of the bleeding ; Among the 37 cases , 33 cases were alleviated with general treatment, 2 cases of recurred bleeding underwent transurethral bladder washing and coagulating then achieved successful results,2 cases of recurred bleeding were operated with bladder. Conclusion Sufficient preoperative preparation, proficient operation and appropriate postoperative management are the key factors to reduce hemorrhage after TURP.
出处
《中外医学研究》
2010年第14期26-27,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
经尿道前列腺电切术
手术后出血
Transurethral resection of prostate ： Postoperative hemorrhage
