探讨经尿道前列腺增生电切术后出血原因及其治疗(附21例报告)

目的 探讨经尿道前列腺电切术（TURP）术后出血原因及其有效的治疗措施。方法 回顾性分析21例BPH者TURP术后出血原因及治疗效果。结果 出血的原因主要有患者的高危因素及TURP术治疗中处理失当等。21例中，13例经一般治疗后出血缓解；8例于电切镜下冲洗血凝块并电凝止血后好转。结论 全面的术前准备、准确的术中及术后处理，是减少BPH患者TURP术后出血的关键。

Causes and management of postoperative bleeding of BPH patients treated with TURP (report of 21 cases)

Objective] To evaluate the causes and management of postoperative bleeding in patients treated with transurethral resection of prostate(TURP).Methods] A total of 21 patients of postoperative bleeding with BPH treated with TURP were retrospectively analyzed.Results] The causes of bleeding consisted of patients aspects and improper therapy.13 cases were alleviated with general treatment,8 cases including 2 cases of recurred bleeding underwent transurethral bladder washing and coagulating and achieved successful results.Conclusion] Comprehensive preoperative analysis,correct intraoperative and postoperative management are important measures to reduce postoperative bleeding of BPH treated with TURP.