精品文档---下载后可任意编辑TURP 术后远期出血的原因及治疗的开题报告【摘要】 目的：探讨 TURP 术后远期出血的原因及治疗。方法：对TURP 术后远期出血的患者进行回顾性分析，收集其病史、手术资料及术后出血情况；对其出血原因进行统计分析，并对其治疗进行总结。结果：在回顾性分析的 72 例 TURP 术后患者中，10 例出现了远期出血。其中6 例为病理性出血，4 例为非病理性出血。病理性出血主要与前列腺癌相关。术后 1 年内出现病理性出血的患者高达 80%，治疗常采纳栓子注射和输血等措施。非病理性出血表现为不明原因的持续性出血，治疗常采纳尿道热灼术和尿道扩张等措施。结论：TURP 术后远期出血的原因多种多样，病理性出血主要与前列腺癌有关，而非病理性出血原因更多样。因此，在术后应严密观察，实行积极的治疗措施。【关键词】 TURP 术后出血；病理性出血；非病理性出血；前列腺癌。【Abstract】 Objective: To explore the causes and treatment of delayed bleeding after TURP. Methods: Retrospective analysis of patients with delayed bleeding after TURP, collecting their medical history, surgical data and postoperative bleeding. The causes of bleeding were statistically analyzed, and the treatment was summarized. Results: Among the 72 TURP patients reviewed, 10 had delayed bleeding. Six cases were pathological bleeding and four were non-pathological bleeding. Pathological bleeding was mainly related to prostate cancer. Patients who had pathological bleeding within 1 year after surgery accounted for up to 80%, and treatment often used measures such as embolization injection and blood transfusion. Non-pathological bleeding was characterized by persistent bleeding of unknown origin, and treatment often used measures such as urethral thermocoagulation and urethral dilation. Conclusion: The causes of delayed bleeding after TURP are diverse, with pathological bleeding mainly related to prostate cancer, while the causes of non-pathological bleeding are more diverse. Therefore, close observation and active treatment measures should be taken after surgery.【Keywords】 Bleeding after TURP; Pathological bleeding; Non-pathological bleeding; Prostate cancer.
