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目的:探讨术前服用阿司匹林对经尿道前列腺电切术出血量的影响。方法:回顾分析2002年1月～2008年12月115例行经尿道前列腺切除术的患者。根据术前停服阿司匹林是否≥10天,分为阿司匹林组(31例)和对照组(84例)。使用Mann-Whitney检验比较两组术中和术后出血量、术中每分钟出血量、术中和术后每克切除组织出血量、输血量、膀胱冲洗天数和术后住院天数。结果:两组患者术后出血量、术后每克切除组织出血量、膀胱冲洗天数、术后住院天数均差异有统计学意义(P<0.05)。两组患者年龄、前列腺体积、切除组织重量和手术时间均差异无统计学意义(P>0.05)。两组患者术中出血量、术中每克切除组织出血量、术中每分钟出血量和输血量的均差异无统计学意义(P>0.05)。结论:术前停用阿司匹林<10天不增加术中出血量、术中每克切除组织出血量、术中每分钟出血量、输血量.增加术后出血量、术后每克切除组织出血量、膀胱冲洗天数和术后住院天数。建议TURP术前至少10天停服阿司匹林。
Objective: To investigate the effect of preoperative aspirin on transurethral resection of prostatectomy. Methods: A retrospective analysis of January 2002 ~ December 2008 115 cases of patients undergoing transurethral resection of the prostate. According to preoperative stop taking aspirin ≥ 10 days, divided into aspirin group (31 cases) and control group (84 cases). The Mann-Whitney test was used to compare intraoperative and postoperative bleeding volume, intraoperative blood loss per minute, intraoperative and postoperative per-unit bleeding volume, blood transfusion, bladder irrigation days and postoperative hospital days. Results: The postoperative bleeding volume, postoperative bleeding volume per gram of resected tissue, bladder irrigation days and postoperative hospital days were significantly different (P <0.05). The two groups of patients age, prostate volume, resection tissue weight and operation time were no significant difference (P> 0.05). There was no significant difference between the two groups in the amount of intraoperative blood loss, intraoperative blood loss per gram of resected tissue, intraoperative blood loss per minute and blood transfusion volume (P> 0.05). Conclusion: The preoperative aspirin withdrawal <10 days does not increase the amount of intraoperative bleeding, intraoperative bleeding per gram of tissue removal, intraoperative blood loss per minute, blood transfusion. Increase of postoperative bleeding, postoperative bleeding volume per gram of tissue removal , Bladder irrigation days and postoperative hospital days. It is recommended that aspirin be stopped at least 10 days prior to TURP.