[耻骨后前列腺腺瘤切除术后大量血尿的经尿道治疗]
[Transurethral treatment of massive hematuria post retropubic adenomectomy].
作者信息
Gaya Sopena J M, Arce Gil J, Gausa Gascón L, Montlleó González M, Salvador Bayarri J, Villavicencio Mavrich H
机构信息
Servicio de Urología, Fundació Puigvert, Barcelona.
出版信息
Actas Urol Esp. 2007 Jul-Aug;31(7):743-5. doi: 10.1016/s0210-4806(07)73715-4.
INTRODUCTION AND OBJECTIVES
to evaluate the frequency of reoperation caused by massive hematuria in the postoperation of open prostatectomy in benign prostatic hyperplasia (BHP) at our hospital. At the same time, we also want to evaluate the effectiveness and possible secondary effects of using transurethral approach to solve this surgical complications.
MATERIAL AND METHODS
we analyzed retrospectively 540 open surgeries in benign prostatic hyperplasia, carried out from 1998 to 2005. We evaluated effectiveness, average surgery time and complications in case of endoscopic review.
RESULTS
a reoperation was necessary in 2.5% of all 540 cases. In all the cases reoperated, hemorrhage was controlled using transurethral approach. Average surgery time was 37 minutes and secondary effects observed were not important.
CONCLUSIONS
transurethral approach is a simple and effective technique in the treatment of massive hematuria after open prostatectomy in BPH. Surgery time spent is acceptable, and early and delayed complications observed have been few and cannot, in our opinion, be imputed only to this tech-
引言与目的
评估我院良性前列腺增生（BPH）开放前列腺切除术后因大量血尿导致再次手术的频率。同时，我们还想评估经尿道途径解决该手术并发症的有效性及可能的继发影响。
材料与方法
回顾性分析1998年至2005年期间进行的540例良性前列腺增生开放手术。在内镜检查时评估有效性、平均手术时间及并发症。
结果
540例病例中，2.5%需要再次手术。在所有再次手术的病例中，通过经尿道途径控制了出血。平均手术时间为37分钟，观察到的继发影响并不严重。
结论
经尿道途径是治疗BPH开放前列腺切除术后大量血尿的一种简单有效的技术。所花费的手术时间是可以接受的，观察到的早期和延迟并发症较少，我们认为不能仅将其归因于该技术。
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