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目的分析前列腺电切术后出血原因及治疗方法。方法 52例行前列腺电切术治疗后出血患者,均采用保守治疗或电切镜下保守治疗,分析出血原因,总结治疗效果。结果 52例患者中,术后早期出血40例,继发性出血12例。出血原因为:术后用力便秘、咳嗽8例、术中止血不彻底10例、残留腺体出血8例、切除阻滞堵塞尿管12例、组织结痂脱落9例、术后剧烈运动5例。结论前列腺电切术后出血与手术操作、患者活动等密切相关,应积极加以预防,以保证患者健康。
Objective To analyze the causes and treatment of bleeding after prostatectomy. Methods Fifty-two patients with postoperative hemorrhage after radical prostatectomy were treated with conservative treatment or conservative treatment under the resectoscope. The causes of bleeding were analyzed and the therapeutic effect was summarized. Results Among 52 patients, 40 cases had early postoperative hemorrhage and 12 cases had secondary hemorrhage. Bleeding causes: postoperative forced constipation, cough in 8 cases, intraoperative hemostasis is not complete in 10 cases, residual gland hemorrhage in 8 cases, removal of blocking clogged catheter in 12 cases, tissue scab off in 9 cases, postoperative strenuous exercise in 5 cases . Conclusion Hepatectomy after prostatectomy is closely related to operation and patient activities, and should be actively prevented to ensure the patient’s health.