前列腺电切术后迟发出血的治疗与预防

Treatment and prevention of delayed hemorrhage after transurethral resection of prostate

目的 研究前列腺电切术后迟发出血的治疗与预防.方法 回顾分析35例行经尿道前列腺电切术后迟发出血的临床资料.结果 35例均经积极处置后治愈出院.其中保守治疗治愈27例,7例严重出血患者均需要输血治疗,其中的6例急诊手术行膀胱内的血块清除和电切镜止血处理.结论 迟发出血原因与术中止血不彻底、残留腺体过多、组织碎片清理不彻底、焦痂脱落、过度活动、下尿路感染、大便不通畅等原因有关,是可以预防的,只要处理及时,预后良好.

Objective To study the treatment and prevention of delayed hemorrhage after the transurethral resection of prostate. Methods 35 patients with delayed hemorrhage after the transurethral resection of prostate were retrospectively analyzed. Results 35 cases were cured after positive disposition and discharged. 27 cases received conservative treatment; 7 cases of severe hemorrhage required transfusion therapy; and 6 cases had emergency surgery to clear the blood clots in bladder and received resectoscopic hemostatic treatment. Conclusions Intraoperative incomplete hemostasis, excessive residual gland, incompletely cleared tissue debris, eschar shedding, over activity of bladder, lower urinary tract infections, astriction, and other factors lead to delayed hemorrhage. Delayed hemorrhage is preventable. If it is cured timely, the prognosis is good.