我院自1990年以来共行前列腺切除术302例,分析本组手术,重点讨论减少手术失血的方法及体会。 1 临床资料 1.1 一般资料:本组302例,平均年龄69岁(55～83岁),均行耻骨上经膀胱前列腺摘除术。 1.2 手术方法:经膀胱摘除前列腺后,热盐水纱条填压腺窝5分钟,用2-0铬制肠线“8”字缝扎腺窝边缘,重点在腺窝后唇3点至9点处。然后用素制1-0肠线荷包缝合前列腺窝(不打结),尿道置入F22三腔尿管一条,往窝内填塞粘有凝血酶400单位的明胶海棉二块,抽紧打结,素肠线一周左右溶 Our hospital since 1990, a total of 302 cases of prostatectomy, analysis of this group of surgery, focusing on discussing methods and experience to reduce blood loss surgery. 1 Clinical data 1.1 General Information: The group of 302 patients, mean age 69 years (55 to 83 years), performed on the pubic transvesical prostatectomy. 1.2 surgical methods: removal of the prostate after the prostate, hot saline gauze fill the crypt for 5 minutes, with 2-0 chrome catgut “8” suture the edge of the crypt, focusing on the posterior lip of the gland 3 to 9 o’clock Department. Then with the system of 1-0 catgut purse suture of the prostate fossa (not tied), urethra F22 triple lumen catheter, to the nest filled with thrombin 400 units of gelatin sponge two, tightening knot , Su-gut about a week soluble