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| 前列腺增生经尿道电切术近期出血的原因和处理 | |
| 引用本文： | 葛校军,周伟民,宗益平,吴盘芳. 前列腺增生经尿道电切术近期出血的原因和处理[J]. 现代泌尿外科杂志, 2010, 15(5): 375-376 |
| 作者姓名： | 葛校军 周伟民 宗益平 吴盘芳 |
| 作者单位： | 江苏大学附属宜兴医院,宜兴市人民医院泌尿外科,江苏宜兴,214200 |
| 摘 要： | 目的探讨经尿道前列腺电切术（TURP）治疗前列腺增生术后近期出血的原因与处理方法。方法对本院12年来前列腺增生经尿道电切术后近期出血的52例患者进行回顾分析其原因及止血方法。结果出血的原因主要有患者高龄、高危等和在治疗中处理失当等。41例经保守治疗而好转,11例经保守治疗无效,麻醉后重新置入电切镜,冲洗血凝块,充分电凝、止血后好转。结论全面的术前分析、准确的术中和术后处理,是减少前列腺增生患者TURP术后出血的关键。 |
| 关 键 词： | 经尿道前列腺电切术 前列腺增生 术后出血 |
Prevention and management of hemorrhage after transurethral resection of the prostate |
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| GE Xiao-jun,ZHOU Wei-min,ZONG Yi-ping,WU Pan-fang. Prevention and management of hemorrhage after transurethral resection of the prostate[J]. Journal of MOdern Urology, 2010, 15(5): 375-376 | |
| Authors: | GE Xiao-jun ZHOU Wei-min ZONG Yi-ping WU Pan-fang |
| Affiliation: | (Department of Urology,the Affiliated Yixing Hospital of Jiangsu University and Yixing People＇s Hospital,Yixing 214200,China) |
| Abstract: | Objective To explore the causes and management of hemorrhage after transurethral resection of prostate（TUPP）in the treatment of benign prostatic hyperplasia（BPH）.Methods The data of 52 BPH cases with early bleeding after TURP from 1996 to 2008 had been analyzed retrospectively.Results The main causes of hemorrhage after TUPP were old age,high risks of the patients and the unsuitable treatments.41 patieneats recovered after conservative treatments,and the other 11 patients had to receive stanching with resectoscope.Conclusion The key factors of reducing hemorrhage after TURP included careful preoperative preparation,radical intraoperative hemostasis and correct postoperative treatments. |
| Keywords: | transurethral resection of the prostate benign prostatic hyperplasia postoperative bleeding |
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