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目的 解决前列腺摘除术后出血问题。方法 对１４例良性前列腺增生症的患者前列腺摘除术后切缘采用连续荷包缝合法收紧，颈部在留置Ｆｏｌｅｙ’ｓ－２２导尿管后留有１指空间即可。并同时对２１例患者采用解剖止血法进行对照。结果 术后治疗组（连续荷包缝合法）与对照组（解剖法）各项指标进行比较。分别为，尿液变清时间：１２±３６ｈ，４８±７２ｈ，（Ｐ＜０．０１）；术中术后出血量：５０～２００ｍｌ，２００～４００ｍｌ；平均施术时间６５ｍｉｎ，９０ｍｉｎ；术后ＱＯＬ１５±土０．８分，１．９±１．２分；住院时间８～１０ｄ，１２～１５ｄ（Ｐ＜０．０５）。结论 通过治疗组与对照组术中、术后各项指标比较，我们认为该手术疗效确切，止血明显，术后住院时间短，预后好，无明显手术并发症，值得在临床上进一步推广应用。
Objective To solve the bleeding after prostatectomy. Methods Fourteen patients with benign prostatic hyperplasia (BPH) were treated by continuous pouch suture after prostatectomy, and the neck was left with 1 finger after indwelling Foley’s-22 catheter. At the same time, 21 patients were treated by anatomical hemostasis. Results The postoperative treatment group (continuous purse suture method) and the control group (anatomical method) of the indicators were compared. Respectively, urine clear time: 12 ± 36h, 48 ± 72h, (P <0.01); postoperative blood loss: 50 ~ 200ml, 200 ~ 400ml; average operation time 65min, 90min; QOL15 ± 0.8 soil, 1.9 ± 1.2 points; hospital stay 8 ~ 10d, 12 ~ 15d (P <0.05). Conclusion Through comparing the intraoperative and postoperative indexes of the treatment group and the control group, we think that the operation has definite curative effect, obvious hemostasis, short postoperative hospital stay, good prognosis and no obvious complications. It is worth further clinical application.