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目的 探讨膀胱双造瘘管改良冲洗法对减少前列腺摘除术后并发症的临床价值。方法 前列腺摘除术共 4 34例 ,根据时间段分为传统膀胱冲洗组 (1 986～ 1 990年 1 1 9例 )和膀胱双造瘘管改良冲洗组 (1 991～ 2 0 0 0年 31 5例 )。比较膀胱双造瘘管改良冲洗组与传统膀胱冲洗组术后并发症发生率。结果 传统膀胱冲洗组与膀胱双造瘘管改良冲洗组术后常见并发症膀胱痉挛、急性附睾炎、后尿道狭窄发生率分别为 :82 % / 2 4 % (P <0 .0 1 ) ;3% / 0 .6 % (P <0 .0 5 ) ;5 .8% / 0 .6 % (P <0 .0 1 )。术后尿路刺激症状维持时间分别为 3周和 1周。结论 膀胱双造瘘管改良冲洗法可明显降低前列腺摘除术后并发症的发生
Objective To investigate the clinical value of modified double irrigation fistula irrigation to reduce the postoperative complication of prostatectomy. Methods A total of 4 34 cases of prostatic extirpation were divided into three groups according to time: traditional bladder irrigation group (1,919-1,990 cases) and double-fistula modified irrigation group (195 cases from 1991 to 2000) ). The incidences of postoperative complications in the double-fistula modified and traditional bladder irrigation groups were compared. Results The incidences of bladder spasm, acute epididymitis and posterior urethral stricture were 82% / 24% (P <0.01) in the conventional bladder irrigation group and the improved double-fistula modified irrigation group. The 3% / 0 .6% (P <0. 05) and 5.8% / 0. 6% (P <0. 01). Postoperative urinary tract irritation maintenance time was 3 weeks and 1 week. Conclusion Improved double irrigation fistula irrigation method can significantly reduce the incidence of postoperative complications of prostatectomy