摘要
目的比较药物止血治疗联合去甲肾上腺素和血凝酶膀胱冲洗与药物止血联合生理盐水膀胱冲洗治疗经尿道膀胱肿瘤电切术(TURBT)后出血的疗效。方法 87例患者行TURBT,术后出现持续出血,46例行药物止血治疗联合去甲肾上腺素和血凝酶膀胱冲洗(试验组),41例行药物联合生理盐水持续膀胱冲洗治疗(对照组)。对两组止血成功率进行对比,明确止血效果。结果试验组止血成功率高于对照组,差异具有统计学意义(P<0.05)。结论药物止血治疗联合去甲肾上腺素和血凝酶膀胱冲洗疗效优于药物止血联合生理盐水膀胱冲洗,是治疗TURBT术后出血安全有效的方法。
Objective To compare the curative effect of hemostasis after transurethral resection of bladder tumor(TURBT)treated with combined hemostatic noradrenergic and hemagglutinin bladder irrigation and drug hemostasis in combination with saline flushing.Methods TURBT was performed in 87 patients with persistent hemorrhage after operation.46 patients underwent hemostatic therapy combined with norepinephrine and hemagglutinin bladder irrigation(experimental group),and 41 patients received continuous bladder irrigation with saline(control group).The hemostasis success rate of the two groups was compared and the hemostatic effect was clear.Results The success rate of hemostasis in experimental group was higher than that in control group,the difference was statistically significant(P<0.05).Conclusion Hemostatic therapy combined with noradrenaline and hemagglutinin bladder irrigation is superior to drug hemostasis combined with saline flushing,which is a safe and effective method for the treatment of bleeding after TURBT.
作者
蒙勇燕
陈光
曾四平
詹谊
管刚云
MENG Yongyan;CHEN Guang;ZENG Siping;ZHAN Yi;GUAN Gangyun(Urology Department,Liuzhou Worker’s Hospital,Liuzhou Guangxi 545000,China)
出处
《中国继续医学教育》
2018年第10期138-139,共2页
China Continuing Medical Education
关键词
去甲肾上腺素
血凝酶
经尿道膀胱肿瘤电切术
出血
norepinephrine
hemagglutinin
transurethral resection of bladder tumor
hemorrhage
