基层医院不同方法治疗经尿道前列腺电切术后出血的效果分析

Analysis of the treatment effect of postoperative hemorrhage on patients with transurethral resection of prostate in a primary hospital

目的分析基层医院尿道前列腺电切术后出血患者保守治疗和电切镜手术的治疗效果。方法选取2013-10~2016-07期间在基层医院行尿道前列腺电切术后出血的41例患者按照止血方式的不同分为A组(保守治疗组)21例,B组(电切镜手术组)20例。观察两组的止血效果、再出血发生率、治疗后7 d尿隐血实验结果、不同时间的血流动力学指标并进行统计比较。结果 B组的止血效果、治疗后7 d尿隐血实验以及治疗过程中治疗后即刻的血流动力学指标均优于A组,差异有统计学意义(P<0.05)。结论在基层医院尿道前列腺电切术后出血患者应用电切镜治疗效果较好,安全性也较高。

Objective To analyze the treatment effect of postoperative hemorrhage on patients with transurethral resection of prostate in a primary hospital. Methods 41 patients with transurethral resection of prostate in a primary hospital were collected from October 2013 to July 2016 in whom 41 cases were divided into group A（ received conservative treatment,n = 21） and group B（ received transurethral resection of prostate,n = 20）. The hemostasis effect,the rate of rehaemorrhagia,urinary occult blood test results at seventh day after the treatment,hemodynamic indexes at different time points were compared between the two groups. Results The hemostasis effect,the rate of rehaemorrhagia,the urinary occult blood test results at seventh day after the treatment and the hemodynamic indexes in group B were better than those in group A（ P〈0. 05）. Conclusion Transurethral resection of prostate is safe and effective in the treatment of postoperative hemorrhage in the primary hospital.