自1957～1986年施行开放性前列腺切除术216例,其中耻骨上前列腺切除术212例,耻骨后4例。手术平均年龄65.6岁,术前存在其他系统并发病147例,占68％。无一例手术死亡。认为预先治疗心血管系统疾病的并发症、控制尿路感染、选择简捷的术式、有效的止血方法以及重视术后护理等,均是开展安全手术,降低死亡率的有效措施。 From 1957 to 1986, 216 cases of open prostatectomy were performed, including 212 suprapubic prostatectomy and 4 retrobulbar. The average age of surgery was 65.6 years. Preoperative existence of other systems and the incidence of 147 cases, accounting for 68%. No one died of surgery. It is an effective measure to carry out safe operation and reduce the mortality rate by considering the pretreatment of complications of cardiovascular system diseases, controlling of urinary tract infection, selecting simple surgical procedures, effective hemostasis methods and emphasizing postoperative care.