本院外科1976年1月至1991年4月共行耻骨上前列腺摘除155例,手术效果良好,未出现死亡病例,现就其手术过程的注意问题及如何防治术后并发症作一总结。临床资料1.年龄最小53岁,最大86岁、平均年龄65岁,以反复排尿困难为主诉者占绝大多数,病史最长10年以上,最短2周。其中就诊时表现为急性尿潴留者34例。2.术前合并泌尿系感染31例、严重肾功能不全3例、膀胱石36例,血尿10例,高血压5例。术前已行耻骨上膀胱造瘘5例,其中3例由外院转入。3.术前肛查估计前列腺大小:Ⅰ°5例,占 Hospital surgical January 1976 to April 1991 total pubic prostatectomy 155 cases, the effect is good, there is no deaths, the surgical procedure is now on the issue of attention and how to prevent postoperative complications to make a summary. Clinical data 1. The youngest 53 years old, the maximum age of 86, the average age of 65 years old, mainly to recurrent dysuria complaints accounted for the vast majority, the longest history of 10 years or more, the shortest 2 weeks. Among them, 34 cases showed acute urinary retention. Preoperative combination of urinary tract infection in 31 cases, 3 cases of severe renal insufficiency, 36 cases of urinary bladder, hematuria in 10 cases, 5 cases of hypertension. Preoperative suprapubic cystostomy in 5 cases, of which 3 cases transferred from the outer court. Preoperative anal examination estimated prostate size: Ⅰ ° 5 cases, accounting for