摘要
目的 :探讨耻骨上前列腺切除术后常见出血、尿失禁、前列腺窝口狭窄和膀胱无抑制痉挛 4种并发症的原因及防治方法。方法 :采取窝口周圈深“8”字环扎血管及术后导尿管牵拉压迫或术中经尿道电切镜电灼术 ;术中避免损伤膀胱外括约肌 ;缝合窝口时不缩紧 ,保证可容 2指大小 ;术后由骶管内持续注入 0 .12 5 %布比卡因 ( 8m l/ h)。结果 :采用以上措施经治 10 9例患者 ,取得较好的临床效果 ,与经典的耻骨上前列腺切除术相比 ,术后并发症的发生率明显下降 ,经统计学处理 ,有显著性差异 ( P <0 .0 5 )。结论 :采用上述措施可有效地防治上述
Purpose:To solve the four common complications of suprapubic proststectory, they are: ①bleeding ②internal urethral orifice stricture ③incontinence ④precipitant urination due to unstable bladder.Methods: We solved the above problems by the following methods:① Circular deep suture of the prostatic vessels during operation and by Foley′s catheter traction or transurethral eletric coagulation during operation.② Avoid injuring the external compression during operation.③ Maintain the reconstructed internal urothral orifice big enough to contain about 2～3 fingers.④ After operation.injecting 0.125% bupivacaine persistently by micro pump through plexus sacram anesthesia tube (8 ml/h in speed) to inhibit unstable bladder.Results: By the above four methods 109 cases have achieved good effect.Conclusions:Above four methods can avoid occurence of the complications.
出处
《临床泌尿外科杂志》
2000年第7期303-304,共2页
Journal of Clinical Urology
