经尿道前列腺电切术后出血原因及处理  

作　　者：王玉宝 王佳 

机构地区：[1]内蒙古呼伦贝尔市人民医院,021008

出　　处：《中国社区医师（医学专业）》2011年第27期127-128,共2页

摘　　要：目的:探讨经尿道前列腺电切术(TURP)后出血的原因及处理方法。方法:2005年4月～2011年1月收治行TURP术的患者435例,对其临床资料进行回顾性分析。结果:435例患者中,23例术后出血,其中术后早期出血17例,迟发性出血6例;18例经保守治疗治愈,5例经电切镜止血。结论:术中确切止血、避免血凝块和切除组织残留及术后引流通畅是预防TURP术后出血的关键;术后及时发现出血并正确处理可避免再次手术,对膀胱内充满凝血块不能冲洗吸出者电切镜下清理凝血块及止血是一种安全有效的方法。Objective： Of transurethral resection of prostate （TURP） ,and the reasons for bleeding after treatment. Methods ： from April 2005 to January 2011 the 435 line of TURP surgery patients were retrospectively ana- lyzed. Results： 435 patients, 23 cases of postoperative bleeding, including 17 cases of early postoperative bleeding, delayed bleeding in 6 cases; 18 cases with conservative treatment,5 cases of bleeding resectoscope. Conclusion ：the exact stop bleeding, prevent blood clots and tissue residues and after removal of drainage patency is the key to prevention of bleeding after TURP; postoperative bleeding to detect and correct treatment can avoid another surgery on the bladder filled with blood clot can not be washed Transurethral endoscopic aspiration were cleaning up blood clot and stop bleeding is a safe and effective method.

关 键 词：经尿道前列腺电切术 出血原因及处理 

分 类 号：R697.32[医药卫生—泌尿科学]