医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
14期
225-225
,共1页
良性前列腺增生症%经尿道前列腺电切术%出血
良性前列腺增生癥%經尿道前列腺電切術%齣血
량성전렬선증생증%경뇨도전렬선전절술%출혈
Benign prostatic hyperplasia by transurethral%Prostatic cutting intraoperative%Bleeding
目的：探讨经尿道前列腺电切术（TURP）术后继发性大出血的原因与治疗方法。方法：对400例良性前列腺增生症（BPH）患者行TURP术，术后常规留置导尿管、生理盐水持续膀胱冲洗3～5天，5～7天拔除导尿管。结果：400例手术病例中12例术后1～30天出现继发性大出血、膀胱内血凝块填塞，二次镜检清除膀胱内血凝块并经尿道电凝止血治愈，无中转开放手术病例，无死亡病例发生。结论：TURP手术中认真仔细止血，术后保持冲洗通畅，避免腹压过高，常规抗生素预防和控制感染，可减少术后发生大出血。
目的：探討經尿道前列腺電切術（TURP）術後繼髮性大齣血的原因與治療方法。方法：對400例良性前列腺增生癥（BPH）患者行TURP術，術後常規留置導尿管、生理鹽水持續膀胱遲洗3～5天，5～7天拔除導尿管。結果：400例手術病例中12例術後1～30天齣現繼髮性大齣血、膀胱內血凝塊填塞，二次鏡檢清除膀胱內血凝塊併經尿道電凝止血治愈，無中轉開放手術病例，無死亡病例髮生。結論：TURP手術中認真仔細止血，術後保持遲洗通暢，避免腹壓過高，常規抗生素預防和控製感染，可減少術後髮生大齣血。
목적：탐토경뇨도전렬선전절술（TURP）술후계발성대출혈적원인여치료방법。방법：대400례량성전렬선증생증（BPH）환자행TURP술，술후상규류치도뇨관、생리염수지속방광충세3～5천，5～7천발제도뇨관。결과：400례수술병례중12례술후1～30천출현계발성대출혈、방광내혈응괴전새，이차경검청제방광내혈응괴병경뇨도전응지혈치유，무중전개방수술병례，무사망병례발생。결론：TURP수술중인진자세지혈，술후보지충세통창，피면복압과고，상규항생소예방화공제감염，가감소술후발생대출혈。
Objective To explore the urethra prostate electricity cut method (TURP) the causes and treatment of postoperative secondary hemorrhage.Methods 400 cases of benign prostatic hyperplasia (BPH) patients, TURP surgery postoperative routine indwelling catheter, saline continuous bladder irrigation for 3 to 5 days, 5 to 7 days urethral catheter.Results400 cases of surgical cases, 12 cases of postoperative 1-30 days appear secondary bleeding, blood clots in bladder filling, microscopic examination of the secondary remove blood clots in the bladder and urethra to cure an electrocautery unit of blood, no cases of open surgery, no deaths occur.Conclusion TURP surgery careful bleeding, postoperative stay flush unobstructed, avoid abdominal pressure is too high, the conventional antibiotics to prevent and control infection, can reduce postoperative bleeding.
