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我院以往行耻骨上前列腺摘除术时,仅用腺窝气囊压迫和全身应用止血药等办法。平均每例需输血600毫升,膀胱冲洗液一周后转清。1979年以后改进了手术操作,采用缝合缩小前列腺窝和放置膀胱颈荷包缝线,以隔离腺窝与膀胱。施行6例,其中2例术前红细胞低于300万,术中各输血300毫升。其余4例均未输血。膀胱冲洗液术后24～48小时转清。手术方法:切开膀胱,暴露膀胱颈部。先在5点、7点处(最好能扪及动脉搏动)
In our hospital past pubic prostatectomy, only the glandular sac compression and systemic application of hemostatic and other methods. The average need to transfuse blood 600 ml, bladder washing fluid after a week to clear. After 1979 to improve the surgical operation, the use of suture to narrow the prostate fossa and bladder neck pouch suture to isolate the crypt and bladder. Performed in 6 cases, 2 cases of preoperative erythrocyte less than 3 million, intraoperative blood transfusions 300 ml. The remaining 4 cases were not transfused. Bladder rinse 24 to 48 hours after surgery to clear. Surgical methods: incision of the bladder, exposing the bladder neck. First at 5 o’clock, at 7 o’clock (the best palpable arterial pulse)