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我院自1973年～1978年10月共收治前列腺增生症患者139例,其中88例施行了前列腺切除术。88例中耻骨上经膀胱切除者42例,耻骨后经前列腺囊—膀胱颈部联合直切口者46例,术中用Foley氏球经尿道或经膀胱压迫腺窝床止血法,另作耻骨上膀胱造瘘引流尿液,膀胱内用点滴液体或用洗疮器间断冲洗膀胱。Foley氏球和耻骨上造瘘管分别于一周内先后拔除。其88例中并发症有7例,现对其发生的原因和处理方法提出一些分析。 1、出血和渗血:有原发性和继发性出血。前者因粘连分离切除腺体时间过长;撕裂尿道膜部、膀胱颈部及腺体被膜外组织;止血不良及Foley氏球压
Our hospital from 1973 to 1978 October were treated 139 cases of benign prostatic hyperplasia patients, of which 88 cases of prostatectomy. 88 cases of suprapubic transurethral resection in 42 cases, the pubic symphysis after prostate capsule - bladder neck straight incision in 46 cases, intraoperative Foley’s ball through the urethra or bladder pressure gland bed hemostasis, the other on the suprapubic Bladder fistula drainage of urine, intravesical fluid with a little bit or wash the bladder intermittent rinse. Foley’s ball and suprapubic fistula were successively removed within a week. The 88 cases of complications in 7 cases, now its causes and methods of treatment made some analysis. 1, bleeding and bleeding: There are primary and secondary bleeding. The former due to adhesion separation resection of the gland for too long; tear the urethra membrane, bladder neck and glandular capsule outer tissue; hemostasis and Foley’s ball pressure