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目前,耻骨上前列腺摘除术仍为治疗前列腺肥大的一种常行手术。为了减少手术出血,我科自1982年至1991年采用耻骨上经膀胱前列腺摘除术治疗400例,并用一种新的膀胱颈缝合方法,取得了良好的止血效果,现报告如下。手术方法及临床资料病人常规下腹部正中切口,于膀胱前壁无血管区戳开扩大切口,经膀胱前列腺包膜下剜除后置干纱布条填塞腺窝,压迫止血。用2-0肠线在6点处将膀胱粘膜及前列腺包膜贯穿缝合,打结后分成2根,各自从6点起向两侧连续加锁边缝合至4点及8点,然后
Currently, suprapubic prostatectomy is still a common treatment for the treatment of benign prostatic hyperplasia. In order to reduce the surgical bleeding, our department from 1982 to 1991 with the suprapubic transvesical prostatectomy in the treatment of 400 cases, and with a new bladder neck suture method, and achieved good hemostasis, are as follows. Surgical methods and clinical data The patient under the incision in the middle of the lower abdomen, without vascularization in the anterior wall of the bladder pouch enlargement incision, the bladder under the prostate capsule removed after the placement of dry gauze gland, pressure hemostasis. With 2-0 catgut at 6 o’clock the bladder mucosa and prostate capsule throughout the suture, split into two after each from 6:00 on both sides of the lock to the sides of the continuous suture to 4:00 and 8:00, and then