环扎血管前列腺切除术的解剖学研究及应用  

Circular suture of the prostatic vessels during suprapubic prostatectomy

作　　者：周荣祥[1] 高文彬[1] 侯成玉[1] 孟凡学[1] 迟玉友[1] 燕东亮[1] 尹洪山[1] 孙兆忠[1] 施利国[1] 

机构地区：[1]滨州医学院附属医院泌尿外科,滨州医学院附属医院解剖学教研室

出　　处：《中华泌尿外科杂志》1995年第9期548-550,共3页Chinese Journal of Urology

摘　　要：用３０具尸体进行前列腺动脉的解剖学研究，显示其动脉主要来源为膀胱下、上动脉，阴部内动脉及直肠下动脉。距腺体０．５ｃｍ处，外径大于０．５ｍｍ的动脉共２１３支，平均每例７．０１支。动脉注入腺体的位置为底部１６２支（７６．０６％），尖部３６支（１６．９０％），体部１５支（７．０４％）。注入底部的动脉呈环形分布。据此设计了膀胱内环扎血管前列腺切除术，经临床应用３６例，除５例术前Ｈｂ小于９０ｇ／Ｌ者输血外，无一例因出血而需输血者。随访３～１５个月，效果良好。Detailed anatomy of the prostatic artery as to its course,branches and the entrance sites to the prostate gland was studied in 30 autopsy speciments. The chief entrance sites to the prostate were at the tip and base of the gland and the arterial branches at the prostate base presented a circular distribution.A circular suture of the prostatic vessels was devised accordingly and was adopted in 36 cases of BPH before the enucleation of the hyperplastic prostate.Ideal hemostatsis has been thus achieved.

关 键 词：前列腺切除术 解剖学 

分 类 号：R699.8[医药卫生—泌尿科学]