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目的探讨经尿道前列腺电切术(TURP)术后继发性大出血的原因与治疗方法。方法对150例良性前列腺增生症(BPH)患者行TURP术,术中止血完善,术后常规留置导尿管、生理盐水持续膀胱冲洗2～5 d,5～7 d拔除导尿管。结果 150例手术病例中12例术后1～21 d出现继发性大出血、膀胱内血凝块填塞,二次镜检清除膀胱内血凝块并经尿道电凝止血治愈,无中转开放手术病例,无死亡病例发生。结论 TURP手术中认真仔细止血,术后保持冲洗通畅,避免腹压增高,常规抗生素治疗,预防和控制感染.可减少术后发生大出血。若发生继发性大出血、膀胱内血凝块填塞,应果断二次镜检清除血凝块,同时经尿道二次电凝止血,均能取得满意疗效。
Objective To investigate the causes and treatment of secondary hemorrhage after transurethral resection of prostate (TURP). Methods 150 cases of benign prostatic hyperplasia (BPH) underwent TURP. The operation was completed and hemostasis was stopped. Urinary catheters were routinely catheterized and saline was given for 2 to 5 days after bladder flushing. Catheters were removed 5 to 7 days later. Results In the 150 cases of operation, 12 cases developed secondary hemorrhage 1 to 21 days after operation. The blood clots in the bladder were stuffed. The blood clots in the bladder were cleared by secondary microscopy and cured by transurethral electrocoagulation. There were no cases of open surgery No deaths occurred. Conclusion TURP surgery carefully carefully stop bleeding, keep irrigation after surgery to avoid increased abdominal pressure, conventional antibiotic treatment, prevention and control of infection. Can reduce postoperative bleeding. If secondary hemorrhage occurs, the cyst clot in the bladder should be decisively cleared by secondary microscopy, and the secondary transurethral electrocoagulation should be used to obtain satisfactory results.