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经尿道前列腺电切术后出血的原因及治疗研究 被引量:72

Management of bleeding after transurethral resection of prostate
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摘要 目的:探讨经尿道前列腺电切术后出血的原因,为临床治疗提供帮助。方法:回顾分析2003年8月-2007年7月行经尿道前列腺电切术后出血的37例患者出血原因,根据不同的情况选择不同的治疗方案。结果:出血原因包括术前、术中、术后三方面的因素。37例患者经加大冲洗速度、牵引力度及膀胱镜下再次止血等相应处理后止血理想。结论:经尿道前列腺电切术后出血的原因是多方面的,术前、术中、术后及时准确的处理是减少术后出血的关键。 Objective:To explore the cause and treatment of bleeding after transurethral resection of prostate. Methods:Clinical data of 37 patients who received TURP from August 2003 to July 2007 in our hospitat were re viewed retrospectively. Results: Preoperative, intraoperative,and postoperative factors were confirmed contribute to the perioperative bleeding. Management of bleeding include increasing flushing speed, increasing traction power and coagulating the bleeding vessels under cystoscope. All the 37 patients achieved well controle of the bleeding. Conclusions:Causes of bleeding after transurethral resection of prostate are of heterogenous and appropriate management have satisefactary outcomes.
作者 陈迪才
出处 《临床泌尿外科杂志》 2008年第5期372-373,376,共3页 Journal of Clinical Urology
关键词 前列腺增生 经尿道前列腺电切 术后出血 Benign prostatic hyperplasia Transurethral resection of prostate Postoperative bleeding
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参考文献7

  • 1de la Rosette J, Alivizatos G. Lasers for the treatment of bladder outlet obstruction: are they challenging conventional treatment modalities[J]? Eur Urol, 2006,50 (3) :418-420.
  • 2Dimitri M. TURP with the new superpulsed radiofrequency energy : More than a gold standard[J]. Eur Urol,1999 ,36 (4) :331-334.
  • 3Chow V D, Sullivan L D,Wright J E, et al. Transurethral electrovporization of the prostate Versus transurethral p rostatic resection: a comparison of postoperative he morrhage [J]. Urology, 1998, 51 (2) : 251-253.
  • 4刘孝东,杨宇如,卢一平,张秀辉,李凤媛,魏强,李虹,石明,陈宗福.非那雄胺减少TURP术中出血的机理研究[J].中华泌尿外科杂志,2003,24(10):694-696. 被引量:138
  • 5叶敏,陈建华,孔良,张良,王伟明,马邦一,康健,朱英坚,蒋鹤鸣.经尿道前列腺电切术的并发症及其防治[J].中华泌尿外科杂志,1997,18(6):362-364. 被引量:295
  • 6Bowden A,Foley S J. Haematuria: a late complication of TURP[J]? Prostate Cancer and Prostatic Diseases, 2001, 4:178-179.
  • 7Frederic Michel, Thomas Dubruile, Jean Pierre Cercueil, et al. Arterial embolization for massive hematuria following transurethral prostatectomy[J]. J Urol, 202, 168: 2550-2551.

二级参考文献16

  • 1王建业 邵鸿勋.TURP术中出血量的测定[J].中华泌尿外科杂志,1990,11:146-147.
  • 2Carlin BI, Boder DR, Spirnak JP, et al. Role of finasteride in the treatment of recurrent heamaturia secondary to benign prostatic hyperplasia. Prostate, 1997,31 : 180-182.
  • 3Foley SJ,Soloman LZ, Wedderburn AW .et al. A prospective study of the natural history of hematuria associated with benign prostatic hyperplasia and the effect of finasteride. J Uro1,2000,163:436-438.
  • 4Vemeulen PB, Gasparini G, Fox SB, et al. Quantification of angiogenesis in solid human tumors:an international consensus on the methodology and criteria of evaluation. Eur J Cancer, 1996,32A : 2474-2484.
  • 5Hahn RG. Dextran 70 and blood loss during transurethral resection of the prostate. Acta Anaes Scand, 1996,40 ;820-823.
  • 6Lekas JM, Widmark BA, Damber JE. Decrement of blood flow preceeds the involution of the ventral prostate in the rat after castration.Urol Res, 1997,25:309-314.
  • 7Takeshita S, Lu Hang, Brogi E, et al. Therapeutic angiogenesis. A single intraarterial bolus of vascular endothelial growth factor augments revascularization in a rabbit ischemic hind limb model. J Clin Invest, 1994,93:662-665.
  • 8Leung D, Cachianes G, Kuarg W, et al. Vascular endothelial growth factor is a secreted angiogenic mitogen. Science, 1989,246: 1306-1301.
  • 9Yamamoto S,Konishi I, Tsuruta Y, et al. Expression of vascular endothelial growth factor (VEGF) during folliculegenesis and corpus luteum formation in the human ovary. Gynecol Endocrinol, 1997,11 :371-381.
  • 10Haggstrom S,Wikstrom P, Bergh A, et al. Expression of vascular endothelial growth factor and its receptors in the rat ventral prostate and Dunning R3327 PAP adenocarcinoma before and after castration.Prostate, 1998,36:71-79.

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