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目的 回顾经会阴前列腺摘除术的治疗经验,分析此术式的临床实用性及操作注意事项。方法 采集了经会阴前列腺摘除术94例患者的临床资料(94/289),其平均年龄71.6岁,术前31例合并有糖尿病、高血压、冠心病等内科疾病,手术时间平均73 min,有49例病人术中输血。结果 术后膀胱冲洗转清时间平均6 d,平均14 d拔导尿管,前列腺组织平均38 g,有2例病人术后再行耻骨上膀胱切开造瘘,2例发生败血症,尿失禁2例,急性附睾炎3例。结论 与近年来发展起来的一些BPH低创治疗方法比较,经会阴前列腺摘除术因其手术的彻底性仍有着实用价值。特别是对一些合并心肺疾患的病人。
Objective To review the treatment experience of transurethral resection of the prostate and analyze the clinical practicability and operation precautions of this technique. Methods The clinical data of 94 patients (94/289) who underwent perineal prostatectomy were collected. The mean age was 71.6 years old. Preoperative 31 patients had medical problems such as diabetes, hypertension and coronary heart disease. The average operative time was 73 min. 49 cases of intraoperative blood transfusion. Results The average time of urinary bladder irrigation was 6 days after operation. The catheter was removed on average 14 days. The average prostate tissue was 38 g. Two patients underwent suprapubic cystectomy and 2 cases of sepsis and urinary incontinence 2 Cases, 3 cases of acute epididymitis. Conclusion Compared with some BPH minimally invasive therapies developed in recent years, transurethral resection of the prostate still has practical value due to the thoroughness of the operation. Especially for some patients with heart and lung disease.