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经尿道前列腺切除术后出血,计划性持续冲洗是否适用?

Is planned continuous irrigation indicated for haemorrhage following transurethral resection of the prostate?

作者信息

Mobb G E, Farrar D J

机构信息

Department of Urology, Selly Oak Hospital, Birmingham.

出版信息

Br J Urol. 1993 Jun;71(6):707-10. doi: 10.1111/j.1464-410x.1993.tb16070.x.

DOI:10.1111/j.1464-410x.1993.tb16070.x
PMID:8343899
Abstract

A prospective audit was carried out of this unit's policy of non-irrigation following transurethral prostatectomy (TURP). Over an 11-month period 121 TURPs were performed. Only 29 patients required intervention to maintain bladder drainage post-operatively, 23 of these requiring bladder washout alone. In the remaining 6 patients catheter change and continuous irrigation were required. The weight of tissue resected was the only factor investigated which bore a significant relationship to the necessity for further intervention in bladder drainage post-operatively. Despite this, patients requiring continuous irrigation post-operatively could not be easily identified prior to or during surgery.

摘要

对本单位经尿道前列腺切除术(TURP)后不进行膀胱冲洗的政策进行了前瞻性审计。在11个月的时间里,共进行了121例TURP手术。术后仅29例患者需要干预以维持膀胱引流,其中23例仅需膀胱冲洗。其余6例患者需要更换导尿管并持续冲洗。切除组织的重量是唯一被调查的与术后膀胱引流进一步干预必要性有显著关系的因素。尽管如此,术前或术中很难识别出术后需要持续冲洗的患者。

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