[膀胱外耻骨后腺瘤切除术的一种止血方法]

[A hemostatic method in extravesicular retropubic adenomectomy].

作者信息

Pivovarov P I, Gurskiĭ B F, Maksimov V D, Gorovoĭ V I

出版信息

Urol Nefrol (Mosk). 1991 Mar-Apr(2):37-41.

Abstract

To improve hemostasis in extrabladder retropubic adenomectomy, use was made of catgut nonremovable sutures and displacement by pi-shape sutures of the back semicircular mucosa of the neck of the urinary bladder into the urethral lumen fixing it to the prostatic adenoma bed walls. Surgical results were compared for 317 patients after extrabladder retropubic adenomectomy against 501 patients following transbladder adenomectomy. In the former group early complications were registered in 16.4%, in the former in 22.8% of the cases. The above approach to hemostasis management permitted hemorrhage incidence reduction to 2.1%; postoperative lethality to 2.5% and hospital stay to 16.5 patient days.

摘要

为改善膀胱外耻骨后腺瘤切除术的止血效果，采用了不可拆除的肠线缝合，并通过“π”形缝合将膀胱颈部后半环形黏膜移位至尿道腔内，固定于前列腺腺瘤床壁。对317例行膀胱外耻骨后腺瘤切除术的患者与501例行经膀胱腺瘤切除术的患者的手术结果进行了比较。前一组早期并发症发生率为16.4%，后一组为22.8%。上述止血管理方法使出血发生率降至2.1%，术后死亡率降至2.5%，住院时间降至16.5个病人日。