中国医药
中國醫藥
중국의약
CHINA MEDICINE
2013年
12期
1750-1751
,共2页
唐来坤%俞仲伟%汪祖林%宋立%田峰%李锋%羊继平
唐來坤%俞仲偉%汪祖林%宋立%田峰%李鋒%羊繼平
당래곤%유중위%왕조림%송립%전봉%리봉%양계평
经尿道等离子前列腺电切%术后出血%气囊压迫法
經尿道等離子前列腺電切%術後齣血%氣囊壓迫法
경뇨도등리자전렬선전절%술후출혈%기낭압박법
Transurethral plasmakinetic resection of prostate%Postoperative bleeding%Ballon compression method
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(3 12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24 h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24 h橡皮筋牵拉气囊压迫法对预防TUPKRP后出血效果可靠.
目的 探討常規24h橡皮觔牽拉氣囊壓迫法對預防經尿道等離子前列腺電切術(TUPKRP)後齣血的臨床效果.方法 將上海市第八人民醫院符閤條件行TUPKRP的656例良性前列腺增生患者按照隨機數字錶法隨機分為試驗組(344例)和對照組(3 12例).對照組術後給予留置三腔氣囊管併行持續膀胱遲洗治療,試驗組在對照組的基礎上常規加用24 h橡皮觔牽拉氣囊壓迫法.觀察比較2組術後1、3、5d血尿未轉清、術後輸血以及再手術止血情況.結果 試驗組術後1、3、5d血尿未轉清率,術後輸血率,再手術率明顯低于對照組[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)],差異均有統計學意義(均P＜0.05).結論 常規24 h橡皮觔牽拉氣囊壓迫法對預防TUPKRP後齣血效果可靠.
목적 탐토상규24h상피근견랍기낭압박법대예방경뇨도등리자전렬선전절술(TUPKRP)후출혈적림상효과.방법 장상해시제팔인민의원부합조건행TUPKRP적656례량성전렬선증생환자안조수궤수자표법수궤분위시험조(344례)화대조조(3 12례).대조조술후급여류치삼강기낭관병행지속방광충세치료,시험조재대조조적기출상상규가용24 h상피근견랍기낭압박법.관찰비교2조술후1、3、5d혈뇨미전청、술후수혈이급재수술지혈정황.결과 시험조술후1、3、5d혈뇨미전청솔,술후수혈솔,재수술솔명현저우대조조[9.9％ (34/344)비16.7％ (52/312),6.4％ (22/344)비13.4％ (42/312),2.9％ (10/344)비7.7％ (24/312),1.7％ (6/344)비4.8％ (15/312),0.6％ (2/344)비2.9％ (9/312)],차이균유통계학의의(균P＜0.05).결론 상규24 h상피근견랍기낭압박법대예방TUPKRP후출혈효과가고.
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.
