安全施行开放性前列腺切除术的体会(附216例分析)

自1957～1986年施行开放性前列腺切除术216例,其中耻骨上前列腺切除术212例,耻骨后4例。手术平均年龄65.6岁,术前存在其他系统并发病147例,占68％。无一例手术死亡。认为预先治疗心血管系统疾病的并发症、控制尿路感染、选择简捷的术式、有效的止血方法以及重视术后护理等,均是开展安全手术,降低死亡率的有效措施。

Open Prostatectorny in Operation with Safety

302 cases of benign hyperplasia of prostate were admitted from 1957 till 1986. 216 cases of them were treated with open prostatectomy, including suprapubic (212 cases) and retropubie (4 cases) prostatectomies. The patients were operated on with an average age of 65.6. 147 cases (68%) had complications of other systems. None of them died of operation. On the basis of the retrospective study of the operative data, it was considered that both the C-V complications The urinary infections would be treated and controlled prorhylactically. And the selection of simple and direct operative patterns, the effective hemostatic methods and the Ca reful attention paid to the post-operative cares were also the effective measures for safe operation and the decrease in mortality.