耻骨上前列腺切除术120例临床分析  

Suprapubic Prostatectomy Clinical Analysis of 120 Cases

作　　者：孙霆[1] 

机构地区：[1]大邑县人民医院,四川成都611330

出　　处：《现代临床医学》2010年第3期195-196,共2页Journal of Modern Clinical Medicine

摘　　要：目的:改良传统前列腺切除手术方式及围手术期处理,减轻患者手术后的痛苦并促进其康复。方法:对传统组和改良组前列腺切除患者的临床资料进行对比分析。结果:留置粗口径膀胱造瘘管和应用硬膜外止痛泵可以显著降低膀胱痉挛性疼痛的发生率。术中用气囊尿管将膀胱和前列腺窝持续隔离20 min以上可以显著减少前列腺窝出血,缩短膀胱冲洗时间。结论:采用粗口径膀胱造瘘管,术中改良止血方法,术后应用硬膜外止痛泵,可以显著减轻前列腺切除术后患者的痛苦。Objective：To improve methods of traditional prostatectomy and perioperative treatment in patients after surgery,to alleviate pain,to promote recovery.Methods：The prostatectomy clinical data of traditional group and the modified group were analyzed.Results：Indwelling large-diameter bladder fistula and application of epidural analgesia pumps significantly reduced the incidence of bladder spasm pain.Using balloon catheter to the ongoing segregation of the bladder and prostate fossa over 20 minutes significantly reduced the prostate fossa bleeding,shortenned the time of bladder irrigation.Conclusion：Using large-caliber bladder fistula,improving intraoperative hemostasis method,using postoperative epidural analgesia pump,these three measures can significantly reduce the suffering of patients after prostatectomy.

关 键 词：前列腺 切除术 临床分析 

分 类 号：R697.32[医药卫生—泌尿科学]