窝口多点缝合止血法在耻骨上经膀胱前列腺切除术中的应用  

Intermittent suturing the bladder neck incisal edge for hemostasis during the suprapubic prostatectomy

作　　者：陈惟青[1] 葛庆生[1] 李光远[1] 项举乐[1] 

机构地区：[1]六安市人民医院泌尿外科,237010

出　　处：《安徽医学》2006年第2期116-118,共3页Anhui Medical Journal

摘　　要：目的总结耻骨上经膀胱前列腺切除术(SPP)中应用窝口多点缝合止血法的经验。方法对128例SPP中应用窝口多点缝合患者的疗效进行回顾性分析。结果术中出血80～200ml,平均110ml;术后48h膀胱冲洗液转清率88.2%(113/128);平均住院时间10.8d;128例患者术后均排尿通畅。116例随访6个月～2年,全部患者无再次排尿困难。结论SPP中应用窝口多点缝合有操作简便、减少术中术后出血、可修复膀胱颈、预防并发症等优点,值得推广应用。Objective To review the Clinical experiment the intermittent suturing the bladder neck incisal edge for hemostasis during the suprapubie prostatectomy（SPP）. Method Curative efect of intermittent suturing the incisal edge during the SPP on the 128 cases was analyzed retrospectinvely. Results The blood loss during operation about 80 - 200 ml, mean Was lloml. The rate of fluid alternate clean was about 88.2% （ 113/128 ） in 48 hours after operation. The mean hospitalized days was 10.8 d. All patients l＇ecoveryed nomal urinalion. There were 116 patienls follow up six months to two years all cases were not the happening any dysuria. Conclusion Use the suturing hemostasis method is very easy to perform,diminish the amount of bleeding during or ＇after operation, to renovate the bladder neck and prevent complications so it＇s worth recommended.

关 键 词：良性前列腺增生 前列腺切除术 止血 并发症 

分 类 号：R699[医药卫生—泌尿科学]