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膀胱出血

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Results no patient died, turs 3 cases, postoperative bleed 2 cases, temporary incontinence 4cases, urine bladder neck crispation 15 case, urethral stricture 8 cases.

结果:无死亡病例,电切综合症3例,继发性出血2例,暂时性尿失禁4例,膀胱颈挛缩15例,尿道狭窄8例。射精障碍32例,阳痿9例。

Results No patient died, TURS 5 cases, postoperative bleed 3 cases, temporary incontinence 6 cases, urine bladder neck crispation 3 case, the surgical operation rear row urine is difficult 3 case, urethral stricture 13 cases.

结果:本组无死亡病例,电切综合征5 例,继发性出血 3 例,暂时性尿失禁 6 例,膀胱颈挛缩 3 例,术后排尿困难 3 例,尿道狭窄 13 例。

The main causes were summarized as follows: 1 Patients psychological situation, accounting for 86.45%; 2 Impotency of the drainage tube because of postoperative hemorrhage, or because of tube folding, distortion or displacement, accounting for 45.15%; 3 Direct stimulation from drainage, accounting for 24.83%; 4 Temperature and speed of rinsing fluid, accounting for 15.0%; 5 Rise in abdominal pressure, accounting for 9.67%; and 6 Infection of bladder and urethra, accounting for 1.6%.

其主要原因有:(1)病人的心理状况,占86.45%;(2)术后出血创面组织脱落使引流管堵塞、引流管折叠、扭曲、固定不妥当,占45.15%;(3)导管刺激,占24.83%;(4)冲洗液的温度、速度,占14.51%;(5)腹压增高,占9.67%;(6)膀胱及尿道感染,占1.6%。

Results43 patients were treated with more than six different kinds of surgeries, and 8 cases of complication mainly occurred on the first 30 cases of operations, which included 1cases of conversion to open surgery, 1 cases of preperitoneal emphysema, 1 cases of cutaneous emphysema, 1cases of gastrocolic omentum pain on the paracentesis point, 1 cases of bladder injury,1 cases of scathe on intestinal canal and 2 cases of injury of blood vessel.

结果 本组共43 例,涉及6种以上术式,8 例出现术中并发症,主要发生在前期30 例中,其中中转开腹1例,腹膜前气肿1 例、皮下气肿1例,穿刺孔大网膜痛1例,膀胱损伤1例,腹内肠管损伤1例、大血管损伤2例,未出现穿刺孔感染、出血、麻醉意外等并发症。

Results The indications for surgery were urinary retention with a large prostate in 78 patients (66.7%),cystolithiasis in 25(21.4%),prostatic bleeding in 9(7.7%), hernia in 7(6.0%) and bladder diverticulum in 5(4.3%).

结果 开放手术的指征中,大体积前列腺引起尿潴留和严重排尿困难者78例,合并膀胱结石25例,前列腺出血9例,腹股沟疝7例,膀胱憩室5例。

Among the 110 patients with a positive potassium stimulation test, 7 (6.4%) had normal cystoscopic findings, while 103 (93.6%) had moderate or severe post-dilatational hemorrhage.

然而在43位钾离子刺激试验阴性的病患中,4位(9.3%)膀胱镜检为正常,39位(90.7%)有扩张后黏膜下出血现象。

And there were difference in bleeding after operation, cystospasm, uroclepsia, dysuria and sexual disturbance in two groups except the rate of infection.

结果:除手术时间相当外,在出血量、尿管停留时间、膀胱冲洗时间、住院时间方面治疗组都明显优于对照组;除感染的几率相当外,治疗组在术后出血、膀胱痉挛、尿失禁、排尿困难、性功能障碍方面和对照组都有显著性差异。

Reformed surgery had the following features: We firstly resected the uterus and then dissected the pelvic lymph node. Urinary bladder gap and rectum gap were opened. After exposing the route of ureter, we excised the uterus artery at the point between the ureter and the uterus artery. Cardinal ligament and uterosacral ligament were cut off by electric knives.

改良式手术具有以下特点:先切除子宫再清扫盆腔淋巴结;进腹后直接打开膀胱子宫反折腹膜,膀胱侧窝及直肠侧窝,暴露输尿管行程,在子宫动脉跨过输尿管处钳夹切断子宫动脉;用电刀直接切除主韧带、骶韧带;清扫盆腔淋巴结时,淋巴断端及小血管分支出血均以钛夹钳夹处理。

Results The procedure were performed successful in all cases with no complication.Side effects such as uncontrollable bleeding,perforation of bladder,and obturator nerve reflection were not found.12 cases were followed up for 5 to 13 months,and tumor recurrence were found in 1 case.

结果 所有患者手术均一次成功,无并发症,包括严重出血、膀胱穿孔及闭孔神经反射等。12例获随访,随诊时间5~13个月,1例膀胱肿瘤异位复发,无原位复发。

Side effects such as uncontrollable bleeding,perforation of bladder,and obturator nerve reflection were not found.12 cases were followed up for 5 to 13 months,and tumor recurrence were found in 1 case.

结果 所有患者手术均一次成功,无并发症,包括严重出血、膀胱穿孔及闭孔神经反射等。12例获随访,随诊时间5~13个月,1例膀胱肿瘤异位复发,无原位复发。

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