我院1993年8月～1999年9月在行耻骨上前列腺切除术中采用膀胱颈口连续锁边缝合法37例与1988年～1993年10月采用5～7点连续锁边缝合法84例疗效比较,前者在术后出血方面明显少于后者,效果满意,现报告如下:1 资料与方法1.1 一般资料:膀胱颈口连续锁边缝合法37例,年龄62岁～87岁,平均73.3岁,前列腺切除重量平均为50.15g。膀胱颈口5～7点连续锁边缝合法84例,年龄56岁～75岁,平均为72.5岁,切除前列腺平均重量为51.18g。两组前列腺经病理证实均为良性前列腺增生症。均行耻骨上前列腺切除术,腺窝均采用3％过氧化氢纱布及温生理盐水纱布压迫止血后放置20～30ml气囊导尿管压迫腺窝并于体外牵引。两组病例年龄及前列腺摘除重量经检验无明显差异。1.2 手术方法:经耻骨上切开膀胱前壁,显露输尿管开口,放置输尿管导管支架保护,切开膀胱颈后唇粘膜,包膜下剥出完整前列腺腺体,避免损伤包膜静脉丛,直肠及膀胱三角区,充分暴露膀胱颈口,吸尽血液,迅速用3％过氧化氢湿纱布及湿生 Our hospital from August 1993 to September 1999 in the line suprapubic prostatectomy with bladder neck neck continuous lock suture method in 37 cases and from 1988 to 1993 October 5 to 7 points with continuous locking suture 84 cases The efficacy of the former was significantly less postoperative bleeding, the results are satisfactory, are as follows: 1 Materials and Methods 1.1 General Information: 37 cases of continuous neck suture of the bladder neck, aged 62 to 87 years, an average of 73.3 The average weight of prostatectomy was 50.15g. Bladder neck mouth 5 to 7 points continuous locking suture 84 cases, aged 56 years to 75 years, mean 72.5 years old, the average removal of prostate weight 51.18g. Two groups of benign prostatic hyperplasia were confirmed by pathology. All underwent suprapubic prostatectomy, the crypts were used 3% hydrogen peroxide gauze and warm saline gauze hemostasis placed 20 ~ 30ml balloon catheter embolization and in vitro traction. Two groups of cases of age and prostate removal weight no significant difference after testing. 1.2 surgical methods: incision of the anterior bladder wall through the pubic bone, revealing the ureter opening, placed ureteral catheter stent protection, incision bladder neck lip mucosa, subcutaneous enucleation of the complete prostate gland to avoid damage to the venous plexus, rectum and Bladder trigone area, fully exposed bladder neck, exhausted blood, quickly wet 3% hydrogen peroxide gauze and wet