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近年来,我们将直视下电凝止血法用于前列腺摘除术6例,其止血较理想。 临床资料:本级年龄53～76岁,病程2～10年。其中2例曾反复多次发生急性尿潴留,2例有血尿;合并泌尿系感染5例,双肾不同程度积水4例,BUN升高2例。肛诊示前列腺Ⅱ°4例,Ⅲ°2例。 手术方法:自下腹正中切口,下端达耻骨联合。切开皮肤后,各层均用电刀切开。上推腹膜及显露前列腺时要轻柔,以免损伤静脉丛。用电刀将前列腺外科包膜及膀胱颈部切开约3cm,边切开边止血。
In recent years, we will look under the electric coagulation hemostasis for prostatectomy in 6 cases, the hemostasis is more ideal. Clinical data: The age of 53 to 76 years of age, duration of 2 to 10 years. Two cases had repeated acute urinary retention many times, two cases had hematuria; 5 cases had urinary tract infection, 4 cases had bilateral renal hydrops and BUN increased in 2 cases. Anus showed prostate Ⅱ ° 4 cases, Ⅲ ° 2 cases. Surgical methods: incision from the lower abdomen, the lower reaches of the pubic symphysis. Cut the skin, the layers are cut with an electric knife. Proper push the peritoneum and prostate should be gentle, so as not to damage the venous plexus. Surgical surgical prostate capsule and bladder neck incision about 3cm, while cutting the side to stop bleeding.