常规24小时橡皮筋牵拉气囊压迫法预防经尿道等离子前列腺电切术后出血的临床研究  

Clinical study of elastics draw off balloon catheter for 24 hours to prevent bleeding after transurethral plasmakinetic resection of prostate

作　　者：唐来坤[1] 俞仲伟[1] 汪祖林[1] 宋立[1] 田峰[1] 李锋[1] 羊继平[1] 

机构地区：[1]上海市第八人民医院泌尿科,200235

出　　处：《中国医药》2013年第12期1750-1751,共2页China Medicine

摘　　要：目的探讨常规24h橡皮筋牵拉气囊压迫法对预防经尿道等离子前列腺电切术（TUPKRP）后出血的临床效果。方法将上海市第八人民医院符合条件行TUPKRP的656例良性前列腺增生患者按照随机数字表法随机分为试验组（344例）和对照组（312例）。对照组术后给予留置三腔气囊管并行持续膀胱冲洗治疗，试验组在对照组的基础上常规加用24h橡皮筋牵拉气囊压迫法。观察比较2组术后1、3、5d血尿未转清、术后输血以及再手术止血情况。结果试验组术后1、3、5d血尿未转清率，术后输血率，再手术率明显低于对照组[9．9％（34／344）比16．7％（52／312），6．4％（22／344）比13．4％（42／312），2．9％（10／344）比7．7％（24／312），1．7％（6／344）比4．8％（15／312），0．6％（2／344）比2．9％（9／312）]，差异均有统计学意义（均P〈0．05）。结论常规24h橡皮筋牵拉气囊压迫法对预防TUPKRP后出血效果可靠。Objective To investigate the clinical effect of elastics drawing off balloon catheter for 24 hours to prevent bleeding after transurethral plasmakinetic resection of prostate （TUPKRP）. Methods All 656 patients with TUPKRP of Shanghai eighth people＇s hospital were randomly divided into treatment group （344 cases） and control group （312 cases）. Control group was given retent three-cavity balloon catheter and continuous bladder irrigation after operation, and the treatment group was given strategy of elastics draw off balloon catheter for 24 hours postoperation on the basis of the control group. Hematuria evanescenced 1 day,3 days and 5 days after operation, blood transfusion and reoperation of two groups were observed and compared. Results The rate of hematuria evanescenced 1 day, 3 days and 5 days after operation, blood transfusion and reoperation of treatment group were lower than those of control group[9.9% （34/344） vs 16.7% （52/312）, 6.4% （22/344） vs 13.4% （42/312）, 2.9% （ 10/344 ） vs 7.7 % （ 24/312 ）, 1.7 % （ 6/344 ） vs 4.8 % （ 15/312 ）, 0.6 % （ 2/344 ） vs 2.9% （ 9/312 ） ], and there were significant differences （ P 〈 0.05 ）. Conclusion The method of elastics drawing off balloon catheter for 24 hours can improve the effect on preventing bleeding after TUPKRP.

关 键 词：经尿道等离子前列腺电切 术后出血 气囊压迫法 

分 类 号：R697.3[医药卫生—泌尿科学]