集束血管钳在根治性前列腺或膀胱切除术中的应用

The use of bunching forceps during radical retropubic prostatectomy

目的 探讨集束血管钳在根治性前列腺与膀胱切除术中控制背静脉丛出血与减少尿道括约肌损伤的作用。 方法 对 14例前列腺癌、膀胱癌患者在行根治性前列腺或膀胱切除术中应用集束血管钳完成背静脉丛的结扎切断。 结果 14例手术均顺利完成。术中来自背静脉丛的出血可以得到有效的控制 ,出血量明显减少 ;不必对尿道与周围支持组织做过多游离 ,因而使尿道括约肌功能得到保护。 结论 集束血管钳对术中控制背静脉丛出血与减少尿道括约肌损伤具有重要作用。

Objective To evaluate the use of bunching forceps during radical prostatectomy. Methods 14 cases of radical prostatectomy/cystectomy were performed with the use of bunching forceps to control bleeding from the dorsal vein complex. Results The procedure resulted in minimal bleeding from dorsal complex and was helpful in rhabdosphincter. Conclusions The bunching forceps is very valuable for controlling bleeding from dorsal vein complex and for preserving rhabdosphincter.