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1. 重庆医科大学临床学院泌尿外科
2. 四川省广安市人民医院外二科
3. 重庆医科大学临床学院泌尿外科,重庆,400041
4. ,四川,广安,638000
纸质出版日期:2004,
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[1]唐贤富,唐培金,王德林.耻骨上前列腺切除术后常见并发症的预防分析[J].重庆医科大学学报,2004(02):242-244.
TANG Xianfu, et al. Complications and prevention of subrapubic transvesical prostatectomy[J]. Journal of Chongqing Medical University, 2004,(2):242-244.
[1]唐贤富,唐培金,王德林.耻骨上前列腺切除术后常见并发症的预防分析[J].重庆医科大学学报,2004(02):242-244. DOI: 10.13406/j.cnki.cyxb.2004.02.039.
TANG Xianfu, et al. Complications and prevention of subrapubic transvesical prostatectomy[J]. Journal of Chongqing Medical University, 2004,(2):242-244. DOI: 10.13406/j.cnki.cyxb.2004.02.039.
目的 :探讨耻骨上前列腺切除术后常见出血、膀胱痉挛、膀胱颈挛缩、切口感染、尿失禁等并发症的原因及预防措施。方法 :对 114例前列腺增生患者术中采用深 8字缝扎血管和可拆除荷包法缝合膀胱颈悬吊、对膀胱颈后唇抬高者行宽敞V形切除
避免损伤尿道外括约肌
术后置 1根F2 2 三腔导尿管并牵拉压迫、耻骨后间隙置 1根血浆引流管、术后保留硬膜外导管并用自控镇痛泵持续给 0 .12 5 %布比卡因 ( 4ml/h)。结果 :采用上述治疗措施
疗效满意。术后常见并发症发生率明显降低 (P <0 .0 5 )。结论 :采用上述措施能有效防止上述 5种常见并发症的发生
Objective:To explore the etiology and prevention of common post-prostatectomy complications
including hemorrhage
wound infection
bladder detrusor muscle instability
incontinence and bladder neck contractures.Methods:The advanced prostatectomy techniques were performed on 114 BPH patients
including the deep 8-shaped suture of prostatic vessels
packet-shaped suture and slinging of bladder neck
a deep and wide V-shaped piece of tissue resected from the heightened posterior part of the bladder neck to avoid tear of the external urethral sphincter during operation period.A#22F three-way Foley urethral catheter for drainage and traction.A multiple hole rubber drain catheter was placed in retropubis
and was implanted 0.125% bupicarine was transfused into epidural continuously by patient controled epidural analgesia (PCEA) post-operatively.Results:Complication rate of patients treated with the above method decreased obviously( P <0.05).Conclusion:These data suggest that post-operation complications of BPH patients may be prevented.
前列腺增生前列腺切除术手术后并发症尿失禁
Benign prostate hypertrophyProstatectomyPost-operation complicationsIncontinence
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