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目的:探讨肛管外接冲洗器在膀胱血凝块清除术中的应用价值。方法:回顾性分析安康市中心医院泌尿外科2013年3月~2015年12月及中国人民解放军总医院泌尿外科2016年2月~2016年6月膀胱内血凝块清除的临床病例资料。其中经皮肾镜碎石取石术后30例,前列腺电切术后11例,前列腺增生症6例,肾挫裂伤4例,血小板减少并发膀胱出血1例;膀胱内血凝块为30mm×25mm~80mm×100mm。所有病例均采用肛管外接冲洗器清除膀胱内血凝块。结果:52例利用肛管外接冲洗器清除血凝块,2例经膀胱镜下激光止血术,1例接受左肾切除术,所用病例均无尿道膀胱损伤的并发症。结论:肛管外接冲洗器是处理膀胱内血凝块安全有效的方法,值得临床应用。
Objective: To explore the value of external anal canal irrigation in the clot removal of bladder. Methods: A retrospective analysis of the clinical data of patients with urinary bladder cyst clearance in Ankang Central Hospital from March 2013 to December 2015 and the Department of Urology of Chinese People’s Liberation Army General Hospital from February 2016 to June 2016 was retrospectively analyzed. Among them, 30 cases were treated with percutaneous nephrolithotomy, 11 cases after prostatectomy, 6 cases with benign prostatic hyperplasia, 4 cases with renal contusion and laceration, 1 case with thrombocytopenia and vesical hemorrhage, 1 case with cystocele within the bladder 25mm ~ 80mm × 100mm. All cases were treated with an external anal canal flushing device to clear the blood clots within the bladder. Results: Fifty-two patients were treated with an external anal flusher to remove blood clots. Two patients underwent cystoscope laser hemostasis and one patient underwent left nephrectomy. No complications were found in urethral bladder injury. Conclusion: Anal canal external flushing device is a safe and effective treatment of intracavaal blood clots, which is worthy of clinical application.