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近年来,我们采取不用膀胱造瘘前列腺摘除术取得了较好疗效,报告如下。 1.临床资料 本组130例,年龄52～85岁,病程6月～20年。患者均有排尿困难、夜尿增多。其中急性尿潴留16例,膀胱结石3例,血尿9例,肾功能不全5例。 2.方法 下腹部正中切口,打开膀胱,在输尿管口处缝一标志线防止损伤输尿管。尿道内钝性剥离增生腺体,剜出腺体后用热盐水纱布填压腺窝5分钟,用组织钳提起腺窝5、7点处使其充分暴露。用1—0肠线分别在钳下方做8字纵深缝扎,尽可能包括腺窝创面。如腺体较大可在5至7点之间追加缝扎。经尿道送入F_(20)三腔气囊尿管,腺窝上缘用1—0肠线纵行缝紧膀胱颈,尿管气囊注水20ml压迫重建的膀胱颈部。不做膀胱造
In recent years, we have not taken a cystostomy prostatectomy has achieved good results, the report is as follows. 1. Clinical data The group of 130 cases, aged 52 to 85 years old, duration of 6 months to 20 years. Patients have dysuria, nocturia increased. Of which 16 cases of acute urinary retention, bladder stones in 3 cases, 9 cases of hematuria, renal insufficiency in 5 cases. 2. Method Under the incision in the middle of the abdomen, open the bladder, in the ureter to sew a mark line to prevent injury to the ureter. Urethral blunt dissection of proliferative glands, gland out of the gland with hot saline gauze compaction gland nest for 5 minutes, with a tissue forceps to lift the gland 5,7 points at full exposure. Use 1-0 catgut to do the 8-character deep suture under the forceps, as far as possible, including the gland fossa wound. Such as the larger glands in the 5 to 7 additional suture. Transurethral into the F_ (20) three-chamber balloon catheter, the superior margin of the gland fossa with 1-0 gut suture the bladder neck, bladder inflatable balloon 20ml oppression of the reconstructed bladder neck. Do not make bladder