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目的探讨经尿道前列腺电切术治疗前列腺增生症术后出血的治疗方法。方法对2005-05-2010-05显示器下经尿道前列腺电切术1 120例,患者术后出血情况及出血原因和治疗方法进行统计分析。结果 45例术后出血、术后出血率4.12%,其中术后早期出血28例(62.22%),继发性出血17例(37.78%);30例经保守治疗止血,15例经电切镜止血。结论做好围手术期患者的准备,熟练掌握操作技术,术中确切止血,术后保持膀胱冲洗及引流通畅,是预防经尿道前列腺电切术后出血的关键,术后及时发现出血并正确处理,对膀胱内填塞血块不能吸出者及时电切镜下止血是一种安全有效的方法。
Objective To investigate the treatment of postoperative bleeding of benign prostatic hyperplasia by transurethral resection of prostate. Methods A total of 1 120 cases of transurethral resection of prostate under the monitor of 2005-05-2010-05 were retrospectively analyzed. The postoperative bleeding, bleeding causes and treatment were analyzed statistically. Results 45 cases of postoperative bleeding, the rate of postoperative bleeding was 4.12%, of which 28 cases (62.22%) were hemorrhage in the early postoperative period and 17 cases (37.78%) were secondary hemorrhage. Thirty cases were cured by conservative treatment and 15 cases Stop bleeding. Conclusions It is the key to prevent peri-urethral bleeding after transurethral resection of the peri-operative patients, to master the operation technique, to stop the bleeding during operation, to keep the bladder flush and drainage unobstructed after operation, to find the bleeding after the transurethral resection of the prostate and to deal with it correctly , The intracapsular clot can not be aspirated timely resectoscope to stop bleeding is a safe and effective method.