三点止血法耻骨上开放性前列腺摘除术中的应用

Three points hemostatic technique of during suprapubic prostatectomy

探讨开放性前列腺摘除术中的有效止血法。我们自 1986年 11月～ 2 0 0 0年 11月 ,在 90例开放性前列腺摘除术中 ,摘除前列腺前或后 ,在膀胱外前列腺与膀胱颈交界处两侧及联合部 (或在膀胱内 5、7、12点处 )各缝扎1～ 2针 ,以缝扎前列腺两侧动脉及前列腺联合部血管而达到止血目的。结果 在 90例开放性前列腺摘除术中应用“三点止血法” ,手术时间 4 0～ 90min ,出血量 96± 8.4ml,冲洗液在术后 30h内转清。结论 膀胱内“三点止血法”简单、便捷 ,优于膀胱外三点止血及常规 5。

A new hemostatic technique was ensured by three suture ligations of prostatic arteries during the suprapubic prostatectomy in 90 cases.The three suture ligations were located at left and right inferior cystic arteries and the vessels of prostatic commissure and sutured before opening the prostatic fascia.The Results Showed that in all cases with new technique,the operation time was about 40～90 min and the volume of bleeding was about 96±8.4 ml.The water coloration of continuous irrigation turned clear within 30 hours after operation.The three points technique of hemostasis was a safe,simple and effective method for suprapubic prostatectomy with less bleeding.