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1987年4~10月,采用前列腺指裂术,治疗前列腺增生急性尿潴留7例,近效尚好,报告如下。手术方法经耻骨上切开膀胱,以右手食指进入尿道内口,边进边用力,使前列腺两侧叶从6点和12点处裂开。如裂开困难时,右食指抵着耻骨划开12点处;左手食指经肛门导引右手食指划开6点处。如有出血放入明胶海绵。然后经尿道放入带囊导管,囊置于两侧叶之间,充气25~30ml,持续扩张尿道,并压迫止血。最后耻骨上膀胱造瘘。如中叶肥大,首先在膀胱、前列腺交界的4~6,6~8点处,用0/1肠线各缝扎一针、阻断血流,切除中叶。如输尿管间嵴肥厚,应同时切
1987 4 to 10 months, the use of prostate finger surgery, treatment of benign prostatic hyperplasia in 7 cases of acute urinary retention, the near effect is still good, the report is as follows. Surgical methods incision of the bladder through the pubic symphysis to the right index finger into the urethra within the mouth, edge into force, so that both sides of the prostate lobes from 6 o’clock and 12 o’clock split. If the splitting difficulty, the right index finger against the pubic bone cut open at 12 o’clock; left index finger through the anus to guide the right index finger cut open at 6 o’clock. If bleeding into the gelatin sponge. Then placed in the urethral catheter with a balloon, placed between the two sides of the balloon, inflated 25 ~ 30ml, continued expansion of the urethra, and oppression to stop bleeding. Last suprapubic cystostomy. As in the middle of hypertrophy, first in the bladder, prostate junction 4 ~ 6,6 to 8 points, with 0/1 gut each suture a needle, blocking blood flow, removal of the middle leaves. Such as ureteral crest hypertrophy, should be cut at the same time