经尿道膀胱肿瘤电切术后出血分析及防治  

Clinical analysis, prevention and treatment of postoperative bleeding involved in transurethral resection of bladder tumor

作　　者：黄骥[1] 涂新华[1] 郝超[1] 

机构地区：[1]江西省肿瘤医院泌尿外科,江西南昌330026

出　　处：《中国现代医生》2016年第28期54-56,共3页China Modern Doctor

基　　金：江西省卫生计生委科技计划项目(20155503)

摘　　要：目的 探讨经尿道膀胱肿瘤电切术后出血的原因及处理措施。方法 回顾分析我院2006年7月1日～2016年6月30日期间行经尿道膀胱肿瘤电切术后出血患者1254例的临床相关资料。结果 术后大出血68例,电切术后出血发生率5.42%,其中保守处理有效率63.24%。结论 术后出血是经尿道膀胱肿瘤电切术常见术后并发症,通过合适的保守处理,能避免大部分患者行手术介入止血。Objective To explore the reasons and treatment for hemorrhagic complications in patients undergoing transurethral resection of bladder tumor（TURBT）. Methods Data of 1254 patients who underwent TURBT in our institute from July 1 2006 to June 30 2016 were included in this study. Results A total of 68 cases with postoperative hemor- rhage, 5.42% incidence of postoperative bleeding was observed. 63.24% of those patients were managed successfully with conservative treatment. Conclusion Postoperative bleeding is the most common complication. Most of hemorrhagic complications associated with TURBT could be solved using conservative treatment to avoid surgical intervention.

关 键 词：经尿道膀胱肿瘤电切术 术后出血 膀胱肿瘤 术后处理 

分 类 号：R730.56[医药卫生—肿瘤]