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探讨开放性前列腺摘除术中的有效止血法。我们自 1986年 11月~ 2 0 0 0年 11月 ,在 90例开放性前列腺摘除术中 ,摘除前列腺前或后 ,在膀胱外前列腺与膀胱颈交界处两侧及联合部 (或在膀胱内 5、7、12点处 )各缝扎1~ 2针 ,以缝扎前列腺两侧动脉及前列腺联合部血管而达到止血目的。结果 在 90例开放性前列腺摘除术中应用“三点止血法” ,手术时间 4 0~ 90min ,出血量 96± 8.4ml,冲洗液在术后 30h内转清。结论 膀胱内“三点止血法”简单、便捷 ,优于膀胱外三点止血及常规 5、7点缝扎止血法
To investigate the effective hemostasis in open prostatectomy. We from November 1986 ~ November 2000, 90 cases of open prostatic extirpation, before or after removal of the prostate in the bladder outside the junction of the prostate and bladder neck on both sides and the joint (or in the bladder 5,7,12 points) the suture 1 to 2 needles to suture the prostate on both sides of the arteries and prostate joint blood vessels to achieve the purpose of bleeding. Results In 90 cases of open prostatectomy, the “three-point hemostasis” method was used. The operation time was 40 to 90 minutes and the amount of bleeding was 96 ± 8.4 ml. The flushing fluid was cleared within 30 hours after the operation. Conclusions Bladder “three-point hemostasis” is simple and convenient, superior to three-point hemostasis outside bladder and conventional 5,7-point suture hemostasis