摘要
目的探讨经尿道前列腺电切术中联合不同止血方案选择及对血栓形成的影响。方法选取2012年3月至2015年10月我院门诊部收治的100例行经尿道前列腺电切术的前列腺增生患者为研究对象,分为研究组和对照组各50例,研究组实施联合运用巴曲亭止血方案,对照组实施常规24 h橡皮筋牵拉气囊压迫止血方案,对两组围术期止血效果[术中出血量、术后出血量、总出血量]、术后凝血功能指标[活化部分凝血活酶时间(a PTT)、纤维蛋白原(Fbg)、血浆凝血酶时间(TT)]、膀胱冲洗时间与留置导尿时间及术后下肢深静脉血栓形成(DVT)发生情况进行观察比较。结果研究组术中出血量、术后出血量、总出血量均较对照组显著小(P<0.05);术后仅对照组a PTT、TT较术前下调,Fbg显著上调,(P<0.05);研究组术后下肢DVT总发生率较对照组显著少低(2%vs 20%)(χ2=4.550,P<0.05)。结论经尿道前列腺电切术中联合巴曲亭止血方案止血效果较佳,且对患者术前术后凝血指标无显著影响,耕有效降低术后DVT。
Objective To investigate the effect of different hemostatie schemes applied in transurethral resection of prostate on the coagulation function and thrombosis. Methods One hundred patients with benign prostatic hyperplasia treated by transurethral resection of prostate in our hospital between March 2012 and October 2015 were studied. According to the order of admission ,the patients were divided into study group and control group ,50 cases in each. Combined use of hemocoagulase hemostatic scheme was implemented in the study group while conventional 24 h rubber band tractive balloon compression hemostasis scheme was implemented in the control group. The perioperative hemostasis effect （intraoperative bleeding volume, postoperative bleeding volume, total bleeding volume ）, postoperative coagulation indexes L activated partial thromboplastin time （aFIT） , fibrinogen （ Fbg）, plasma thrombin time （TT） ] , bladder washing time, indwelling catheterization time and incidence of postoperative lower extremity deep vein thrombosis were observed and compared between the two groups. Results The intraoperative bleeding volume, postoperative bleeding volume and total bleeding volume of the study group was significantly less than that of the control group （P 〈 0. 05）;Only after the control group aPTT, TT compared with preoperative reduction, Fbg increased significantly（P 〈 0. 05）;study group after surgery the total incidence rate of DVT significantly low（2% vs 20% ） （ χ^2 = 4. 550, P 〈 0. 05 ）. Conclusion Transurethral resection of prostate combined with batroxobin Ting scheme hemostatic hemostatic effect is good, and had no significant effect on coagulation indexes of patients before and after surgery, reduce postoperative DVT.
出处
《血栓与止血学》
2018年第1期112-114,共3页
Chinese Journal of Thrombosis and Hemostasis
关键词
经尿道前列腺电切术
前列腺增生
止血
凝血
血栓形成
Transurethral resection of the prostate
Benign prostatic hyperplasia
Hemostasis
Coagulation
Thrombosis
