论文部分内容阅读
目的:探讨前列腺切除术后大出血的原因和防治措施。方法:回顾性分析行前列腺切除术的523例患者的临床资料。结果:523例患者中,23例术后发生大出血,其中术后早期出血15例,迟发性出血8例。17例经保守治疗治愈,2例经再次开放手术止血,4例经电切镜止血。结论:术中止血确切及术后保证引流通畅是预防前列腺切除术后大出血的关键;术后及时发现出血并正确处理可避免再次手术;对膀胱内已充满血块不能吸出者需再次手术;电切镜下止血是一安全而有效的方法。
Objective: To investigate the causes of major bleeding after prostatectomy and its prevention and treatment. Methods: The clinical data of 523 patients undergoing prostatectomy were retrospectively analyzed. Results: Of the 523 patients, 23 had postoperative hemorrhage, including 15 cases of early postoperative bleeding and 8 cases of delayed bleeding. 17 cases were cured by conservative treatment, 2 cases were reopened to stop bleeding, and 4 cases underwent resectoscope to stop bleeding. CONCLUSIONS: The exact intraoperative hemostasis and patency to ensure drainage are the key factors to prevent postoperative bleeding after prostatic resection. Bleeding is detected in time and correctly treated to avoid reoperation. Reoperation should be performed in patients with bladder full of blood clots that can not be aspirated. Microscopic hemostasis is a safe and effective method.