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目的总结分析经尿道前列腺电切术(TURP)术后出血与术前伴有心血管疾病有无相关性。方法回顾性分析2005年8月-2010年7月北京天坛医院进行的354例经尿道前列腺电切术患者的临床资料,根据术前是否伴有高血压病、冠心病等心血管疾病将患者分为两组,对两组间术前临床症状、手术时间、切除前列腺重量及术后出血比例进行对比分析。结果两组患者术前临床症状、手术时间、切除前列腺重量相比无显著差异,伴有高血压病、冠心病等心血管疾病的218例患者术后出血比例为12.84%,术前未伴有相关疾病的136例患者术后出血比例仅为4.41%,两组相比差异有统计学意义(P<0.01)。结论术前伴有心血管疾病是引起经尿道前列腺电切术术后出血的重要因素,加强围手术期处理,积极控制术前因素可有效减少术后出血。
Objective To summarize and analyze the correlation between the postoperative bleeding of transurethral resection of prostate (TURP) and the cardiovascular disease preoperatively. Methods The clinical data of 354 cases of transurethral resection of prostate in Beijing Tiantan Hospital from August 2005 to July 2010 were retrospectively analyzed. According to whether preoperative patients had hypertension, coronary heart disease and other cardiovascular diseases, For the two groups, the clinical symptoms, operation time, the weight of prostatic ablation and the proportion of postoperative bleeding were compared between the two groups. Results There were no significant differences in preoperative clinical symptoms, operation time, and prostate resection weight between the two groups. The postoperative bleeding rate in 218 patients with cardiovascular diseases such as hypertension and coronary heart disease was 12.84% 136 cases of related diseases, the proportion of postoperative bleeding was only 4.41%, the difference between the two groups was statistically significant (P <0.01). Conclusions Cardiovascular disease preoperatively is an important factor leading to postoperative bleeding after transurethral resection of the prostate. Strengthening perioperative management and controlling preoperative factors can effectively reduce postoperative bleeding.