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目的 通过2种止血法在前列腺摘除中的应用比较,以其寻求更为安全、可靠的止血方法。方法 自1997年9月-2000年4月间实行耻骨上经膀胱前列腺摘除术40例,分别采用膀胱后唇5-7点缝合止血与电凝止血各20例(以下称缝合组与电凝组)。结果 从术中出血量与术后近期出血情况分析、缝合组术中出血约50-200ml,平均80ml。术后冲洗液转清时间2-5天,平均3天。电凝组术中出血100～300ml,平均180ml,术后冲洗液转清时间3-7天,平均4.5天。术后近期出血(1-15天)缝合组无,电凝组发生3例。结论 从有限资料分析,膀胱后唇缝合止血法术中出血少,术后再出血发生率低,可作为前列腺摘除术的首选止血方法。
Objective By two kinds of hemostasis in prostate removal in the application of comparison, with its search for more secure and reliable hemostasis method. Methods From September 1997 to April 2000, 40 cases of suprapubic transurethral resection of the prostate were performed. Twenty (20-70 cases) of suture hemostasis and electrocoagulation hemostasis were applied to the bladder posterior lip 5-7 respectively (hereinafter referred to as suture group and electrocoagulation group ). Results From the intraoperative blood loss and postoperative bleeding analysis, the suture group bleeding about 50-200ml, an average of 80ml. Rinse solution after clearing time 2-5 days, an average of 3 days. Electro coagulation group intraoperative bleeding 100 ~ 300ml, an average of 180ml, after washing fluid clear time 3-7 days, an average of 4.5 days. Postoperative bleeding (1-15 days) without suture group, electrocoagulation group occurred in 3 cases. Conclusions From the limited data analysis, there is less bleeding in the posterior approach of the posterior lip of the bladder and the low rate of postoperative rebleeding, which can be the first choice of hemostasis for prostatectomy.