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尽管我国也正在逐步开展经尿道前列腺切除术,但由于需要特殊的电切镜,故尚难普及,而且也不能完全取代开放手术。因此,对如何做好最常用的耻骨上前列腺摘除手术,减少出血和并发症以及对并发症作适当的处理仍是非常重要的问题。我院从1979年至1985年7月对此种手术的止血措施进行了改进,平均出血量144ml,平均输血量112ml。现将减少出血的方法作一介绍。 临床资料 (1)直肠指诊。主观估计前列腺增生程度,分3度统计,Ⅰ°5例(2.6％);Ⅱ°88例(45.8％);Ⅲ°99例(51.6％)。B超除3例Ⅱ°及2例Ⅲ°无残余尿外,其余均有不同程度残余尿。(2)术后标本重量:20g以下31例(中叶增生或
Although our country is also gradually carrying out transurethral resection of the prostate, it is difficult to popularize because of the special resectoscope, and it can not completely replace the open surgery. Therefore, it remains a very important issue on how to perform the most commonly used suprapubic prostatectomy, to reduce bleeding and complications, and to properly handle the complications. Our hospital from 1979 to July 1985 on the surgical hemostasis measures were improved, the average amount of bleeding 144ml, the average blood transfusion 112ml. Now to reduce the bleeding method for an introduction. Clinical data (1) digital rectal examination. Subjective assessment of benign prostatic hyperplasia, divided by 3 degrees statistics, Ⅰ ° 5 cases (2.6%); Ⅱ ° 88 cases (45.8%); Ⅲ ° 99 cases (51.6%). B super-3 cases in addition to Ⅱ ° and 2 cases Ⅲ ° no residual urine, the rest have varying degrees of residual urine. (2) Postoperative specimen weight: 31 cases below 20g (middle lobe hyperplasia or