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目的：探讨减少耻骨上前列腺切除术后膀眈颈狭窄及出血发生率的方法。方法：在常现方法行耻骨上前列腺切除术52例的基础上，改良膀胱颈口处理方式，采用膀胱预后唇3～9点钟位半圈间断缝扎止血，缝合膀胱颈留出顺畅通道的方法施行手术76例。结果：改良方法的膀胱颈狭窄发生率为2．6％，明显低于常规方法的9．6％，（P＜0．05），术中出血少于常规方法（P＜0．05），无一例出现尿失禁、大出血等并发症。结论：采用改良法，可减少术中和术后出血，降低膀胱颈狭窄的发生率，提高手术疗效。
Objective: To explore ways to reduce the incidence of neck stenosis and bleeding after suprapubic prostatectomy. Methods: On the basis of 52 cases of suprapubic prostatectomy, the way of treatment of bladder neck was modified, and the bladder was neck sutured to stop the bleeding at 3 ~ 9 o’clock of the bladder. The bladder neck was sutured to provide smooth passage Methods 76 cases of operation. Results: The incidence of bladder neck stenosis was 2.6% in the improved method, which was significantly lower than 9.6% in the conventional method (P <0.05). Bleeding was less than the conventional method (P <0.05) No case of urinary incontinence, bleeding and other complications. Conclusion: The modified method can reduce intraoperative and postoperative bleeding, reduce the incidence of bladder neck stenosis and improve the curative effect.