经尿道前列腺电切术治疗前列腺增生并发出血34例临床体会  

Causes and treatment of hemorrhage after transurethral resection of the prostate

作　　者：刘浩[1] 李海清[1] 张宇[1] 

机构地区：[1]河南省永城市人民医院,河南永城476600

出　　处：《中国民族民间医药》2015年第11期123-123,125,共2页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：目的:探讨经尿道前列腺电切术(TURP)治疗前列腺增生时出血的原因与治疗方法。方法:对6年来经尿道前列腺电切术治疗前列腺增生并发出血的34例患者的临床资料进行回顾性分析。结果:本组34例术中大量出血1例,电凝止血未成功,最后给予气囊导尿管压迫成功止血,术后给予输注红细胞悬液6U。术后1周内出血31例,其中24例通过保守治疗止血成功;其中7例患者保守治疗效果差,给予行二次电凝止血成功。2例出院后1周以上因出血量大再次住院,给予保守治疗成功。以上患者随访3个月,无再次出血。结论:充分的术前准备、术中和术后及时准确的处理,是减少和治疗前列腺增生患者TURP手术出血的关键。Objective To explore the causes and treatment of hemorrhage after transurethral resection of prostate （TUPP） in the treatment of benign prostatic hyperplasia （BPH）.Methods The data of 34 BPH cases with bleeding after TURP in the past 6 years had been analyzed retrospectively.Results 1 cases of the group of 34 patients with massive hemorrhage was due to induced venousplex-us hemorrhage prostate capsule perforation in the operation,with giving the transfused red blood cells 6U.31 cases of the group of 34 patients with massive hemorrhage within 1 weeks after surgery,including 24 cases successfully conservative treatment;of which 7 ca-ses of conservative treatment in patients with poor effect were given secend electric coagulation hemostasis.2 patients after discharging more than 1 weeks was given conservative treatment successfully .The above patients were followed up for 3 months,and never bleed-ing.Conclusion The fully preoperative preparation,intraoperative and postoperative treatment accurately are the key points of reduc-ing hemorrhage in patients with TURP.

关 键 词：经尿道前列腺电切术 前列腺增生 出血 

分 类 号：R697.32[医药卫生—泌尿科学]