经尿道前列腺电切术后出血原因分析及处理

Analysis and Treatment of the Postoperative Bleeding in Patients with Transurethral Resection of Prostat

目的：探讨经尿道前列腺电切术后出血的原因分析及防治对策。方法：随机选取2009年10月~2011年5月我院收治的116例经尿道前列腺电切术患者,选取经结合其临床表现诊断为术后出血的16例患者,回顾性分析其原因及防治措施。结果：16例经尿道前列腺电切术后出血的患者中,3例疑为纤溶亢进,9例由于切割不全或过切、止血不全等原因主要在术后2d内出血,4例由于腹压增加、伤口感染等原因主要在术后（7~9）d内出血,经及时处理均转危为安,无一例死亡。结论：经尿道前列腺电切术后出血的防治工作中,可针对其发生原因采取一定干预措施,达到疾病防治的最终目的。

Objective：To evaluate the reasons for postoperative bleeding of transurethral resection of prostate（TURP）and corelative treatment.Methods：From October 2009 to May 2011,116 patients with BPH were performed by TURP in the hospital,the clinical documents of 16 cases occurring postoperative bleeding were reviewed and analysed.Results：Among 16 cases,fibrinolytic accentuation of 3 cases,the bleeding period of 9 cases was within 2 days,and that of 4 cases ranged from postoperative 7 to 9 days.The former causes mainly were incomplete incision,perforation of the capsule of prostate,incomplete hemostasia.The latter resulted from increased abdominal pressure,inflammation of residual prostate tissues.All patients were cured after effective treatment.Conclusion：operative manipulation,inflammation of residual prostate tissues,and increased abdominal pressure is considered the main cause of postoperative bleeding of TURP.The proficient operation and positive antibiotic treatment is the effective method for controlling the postoperative bleeding of TURP.