论文部分内容阅读
前列腺摘除术常遇到的问题是出血,髂内动脉结扎偶可作为术后大出血的治疗措施,但易招致感染及阳萎等并发症。基于解剖学的实际情况,我院1981～1984年将髂内动脉前支结扎列为耻骨后前列腺摘除术的倦规步骤,共施行17例,效果良好。现介绍于下,以供参考。资料与方法一、一般资料本组病例均施行耻骨后前列腺摘除术。术中、术后出血较少(8例输血,9例备血未用)。手术时间一般缩短30分钟到50分钟,术后不需点滴冲洗膀胱,尿液转清早,创口一期愈合率高。兹将本组17例(结扎组)和1980年前的8例(常规组)耻骨后前列腺摘除术进行比较,见(附表)。
Prostate extirpation often encountered the problem of bleeding, even the iliac artery ligation can be used as a postoperative bleeding treatment, but easily lead to complications such as infection and impotence. Based on the actual situation of anatomy, our hospital from 1981 to 1984, the ligation of the internal iliac artery anterior ligation as a rule of the pubic prostatectomy after the burn rule steps, a total of 17 cases, the effect is good. Now introduced below, for reference. Materials and Methods First, the general information of this group of patients underwent retropubic prostatectomy. Intraoperative and postoperative bleeding less (8 cases of blood transfusion, 9 cases of blood not used). Surgery time is generally shortened 30 minutes to 50 minutes, no need to wash the bladder after surgery, urine transfer early morning, wound healing rate. This group of 17 patients (ligation group) and 1980 before the eight cases (conventional group) retropubic prostate resection, see (Schedule).