经尿道前列腺等离子电切术后出血36例临床观察

Clinical Observation of Cause and Treatment Bleeding After Transurethral Plasmakinetic Resection Prostate of 36 cases

目的分析研究经尿道前列腺等离子电切术后出血原因,以便为临床治疗提供帮助。方法回顾性分析2009年12月至2011年12月期间36例行经尿道前列腺等离子电切术后出血患者的临床资料,分析总结患者出血原因和治疗方法。结果患者出血原因包括术前、术中、术后3方面因素,36例患者经根据病情不同采取保守或手术治疗后,患者均止血成功,康复出院。其中25例保守治疗,11例因出血速度快,膀胱填塞,入手术室行电切镜下清理血凝块、电凝止血,留置尿管1周后治愈,术后随访1～3个月均未再次出血。结论经尿道前列腺等离子电切术后出血原因是多方面的,术前、术中、术后及时准确处理是减少术后出血的关键。

Objective To explore cause and treatment bleeding after transurethral plasmakinetic resection prostate. Methods Clinical data 36 patients who received PKRP from December 2009 to December 2011 hospital were reviewed. Results Preoperative,intraoperative,postoperative factors confirmed perioperafive bleeding,36 patients according to the pathogenetic condition by conservative treatmen or surgical treatment, the whole patients were success to stop bleeding and rehabilitation discharge.25 patients were treatment with conservative and 11 patients were treatment with surgical, all cases got the follow- up survey from lto3 monhts,without rebleeding. Conclusions Causes bleeding after transurethral plasmakinetic resection prostate heterogenous appropriate management have satisefactary outcomes.