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目的:探讨血小板凝胶在经尿道前列腺电切术中应用的临床效果。方法:选取2011-01-2012-12前列腺增生症患者125例,随机分为两组,采取经尿道前列腺电切术。其中治疗组25例手术结束时于前列腺腺窝内灌注血小板凝胶,对照组100例前列腺电切手术中单纯电凝止血。结果:治疗组无输血,无膀胱痉挛及尿道狭窄,菌尿1例;对照组严重出血4例,并发尿道狭窄9例,菌尿14例。治疗组与对照组术后持续渗血时间、冲洗液转清时间、术后感染率、拔管时间、术后住院时间相比较均差异有统计学意义(均P<0.05)。结论:前列腺增生症电切术中使用血小板凝胶,能减少术后出血,促进创面愈合,降低术后感染,缩短住院时间,值得临床推广应用。
Objective: To investigate the clinical effect of platelet gel in transurethral resection of prostate. Methods: From January 2011 to December 2012, 125 patients with benign prostatic hyperplasia were randomly divided into two groups. Transurethral resection of the prostate was performed. Among 25 cases in the treatment group, platelet gel was perfused in the prostatic gland at the end of the operation, and 100 cases of pure electrocoagulation and hemostasis were performed in the control group. Results: In the treatment group, there was no blood transfusion, no bladder spasm and urethral stricture. Bacteriuria was found in 1 case. In the control group, 4 cases were severe hemorrhage and 9 cases were complicated with urethral stricture and 14 cases were bacteriuria. There was significant difference between the treatment group and the control group in the duration of postoperative bleeding, the time of clearing fluid, the rate of postoperative infection, the time of extubation, and the length of postoperative hospital stay (all P <0.05). Conclusion: The platelet gel used in resection of benign prostatic hyperplasia can reduce postoperative bleeding, promote wound healing, reduce postoperative infection and shorten the length of hospital stay, which is worthy of clinical application.