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我科于1980年～1993年行耻骨上前列腺摘除术136例。其中发生各种并发症者14例,占10.3％,现就其并发症的发生原因,预防和治疗小结如下: 1 术后出血 前列腺摘除术的术后出血分为早期出血(发生在术后1～2d)和晚期出血(发生在术后10～16d)二种,本组病例发生术后出血者6例。其中早期出血4例、晚期出血2例。早期术后出血多与术中未妥善止血有关,还与术后膀胱内有小血块阻塞引流导管,致尿液和膀胱冲洗液引流不畅。迫使患者加压排尿,以致加剧出血。如此形成恶性循环,致前列腺窝和膀胱内出血越来越严重。
In our department from 1980 to 1993, suprapubic prostatectomy in 136 cases. Including complications occurred in 14 cases, accounting for 10.3%, now its causes of complications, prevention and treatment are summarized as follows: 1 Postoperative bleeding Prostate removal of bleeding after surgery is divided into early bleeding (occurred in 1 ~ 2d) and advanced bleeding (occurred in 10 ~ 16d after surgery), 6 patients had postoperative bleeding in this group. Including 4 cases of early bleeding, 2 cases of advanced bleeding. Early postoperative bleeding and surgery are not properly hemostatic, but also with small blood clots in the bladder obstruction after drainage catheter, resulting in poor drainage of urine and bladder irrigation fluid. Forcing the patient to urinate and exacerbate bleeding. So a vicious circle, resulting in prostate gland and bladder bleeding more and more serious.