经尿道电切镜下处理TURP术后二次出血16例

Treatment of 16 cases with post-transurethral resection of the prostate secondary bleeding of with transurethral endoscopic hemostasis

摘要: 目的:探讨经尿道电切镜下处理经尿道前列腺电切术(TURP)术后出血的应用价值。方法:TURP手术723例,因术后大出血需二次手术16例,行经尿道电切镜下止血,术中清除膀胱内血凝块,膀胱颈口确切止血。结果:16例二次手术止血均成功,手术时间平均27min,术后住院时间平均9d,无输血。结论:经尿道电切镜下止血是解决TURP术后出血疗效确切、创伤小、操作简便的手术方式,可作为处理TURP术后严重出血的首选。

Abstract: Objective:To evaluate the value of treatment of post-transurethral resection of the prostate(TURP) secondary bleeding of with transurethral endoscopic hemostasis.Methods:Sixteen cases with massive hemorrhage of 723 patients with TURP were treated with transurethral endoscopic hemostasis,clear blood clots of bladder and hemostasis of bladder neck.Results:The secondary surgery of sixteen cases were success.The mean time of surgery and hospital stay were 27 mins and 9 days respectively.Conclusions:The effects of treatment of post-TURP secondary bleeding of with transurethral endoscopic hemostasis are good,which is small trauma,convenient operating,and can be first choice for treating serious bleeding after TURP.