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为提高前列腺切除术的治疗效果,寻找一种既符合解剖生理特点、减少出血量及并发症的发生,又能使患者痛苦小、恢复快的手术方式,对31例前列腺增生患者采用保留尿道前列腺摘除术予以治疗,手术平均时间97.5min,术中平均输血250ml。随访0.5~2年,疗效满意。强调术前留置导尿管或术中放置尿道扩张器的必要性,认为采用睑板拉钩和缝扎牵拉腺体予以暴露,应用脑膜剪刀锐性分离前列腺与尿道、膀胱颈之间的组织和前列腺包膜,切除前列腺腺体,保留完整的尿道膀胱颈粘膜十分有效。
To improve the therapeutic effect of prostatectomy, looking for an anatomical and physiological characteristics that meet both to reduce the incidence of bleeding and complications, but also make the patient less pain and quick recovery of the surgical approach to 31 cases of benign prostatic hyperplasia patients with retention of the urethra Excision was treated, the average operation time 97.5min, intraoperative blood transfusion 250ml. Follow-up 0.5 to 2 years, with satisfactory results. Emphasizing the need for preoperative catheter placement or intraoperative urethral dilators, that the use of tarsus and suture to pull the gland to be exposed, the use of meningeal scissors sharp separation prostate and urethra, bladder neck between the tissue and Prostate capsule, removal of the prostate gland, retain the integrity of the urethra bladder neck mucosa is very effective.