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我科自1977年以来,为26例(年龄56～79岁)前列腺增生症病人施行了前列腺被膜与膀胱前壁“L”形切口的方法,并应用自制膀胱内、外固定拉钩和高渗盐水纱布条充塞腺窝止血等一些方法上的改进,获得满意的效果,报告如下。手术方法采用硬膜外麻醉,取仰卧臀高位,下腹正中切口。按耻骨后式前列腺切除术方法,将前列腺被膜前壁及膀胱颈部前壁,两侧充分剥离,用膀胱外固定拉钩将创口及膀胱拉开固定。首先靠近膀胱颈部两侧触及前列腺动脉搏动处,进行集束缝扎,然后按“L”形切口的两侧,将前列腺被膜及膀胱颈部的纤维膜下走行的血管进行缝扎止血,并将缝扎的线头留牵引和腺体切除后结扎用。将膀胱充气胀
Since 1977, our department has performed a method of prostatic capsule and “L” shaped incision of the anterior bladder wall in 26 patients (56-79 years old) with benign prostatic hyperplasia and applied self-made intra-bladder and external fixation hooks and hypertonic saline Gauze stuffing celiac hemostasis and some other methods of improvement, access to satisfactory results, the report is as follows. Surgical epidural anesthesia, supine hip position, the median incision. According to the pubis after prostatectomy method, the anterior wall of the prostate capsule and the anterior wall of the bladder neck, stripped on both sides, the bladder with a fixed external pull the bladder and pull open fixed. First of all, close to the neck of the bladder, both sides of the prostate touches the pulsation of the prostatic artery, the bundle suture, and then press the “L” shaped incision on both sides of the prostate capsule and bladder neck under the fibrin membrane stenosis of blood vessels to stop bleeding, and Suture the thread to stay traction and glands after ligation with ligature. Inflate the bladder