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目的 观察不隔离腺窝的耻骨上经膀胱前列腺切除术的安全性和效果。方法 采有用不隔离腺窝的方法治疗前列腺增生症 70例。结果 剜出的腺瘤 (6 5± 35 )g ,保留导尿管时间 (5 .5± 2 .5 )d ,膀胱造瘘时间 (9.2± 3.3)d。术后排尿正常 ,无尿失禁。IPSS评分由术前 (2 8.5± 2 .5 )分减至术后 (6 .5± 2 .2 )分 ,QOL评分由要术前的 (5 .6± 0 .6 )分减至 (1.0± 0 .4 )分 ,Qmax术前 (6 .8± 1.5 )ml/s升到术后的 (2 1.5± 6 .5 )ml/s,Ru从术前的 (12 0± 80 )ml减少至 (10± 8)ml。AFR(3.5± 1.0 )ml/s升至 (10 .0± 2 .0 )ml/s,手术前后 5项指标差别有显著意义 (均P >0 .0 1)。结论 进一步证实开放前列腺切除术具有最好的临床疗效。
Objective To investigate the safety and efficacy of suprapubic transvesical prostatectomy without isolation of the gland. Methods There are 70 cases of benign prostatic hyperplasia (BPH) treated with the method of not using isolated glands. Results The number of adenoma (65 ± 35) g, catheterization time (5.5 ± 2.5, d) and bladder fistula time (9.2 ± 3.3) d were all higher. Postoperative urination normal, incontinence. The IPSS score decreased from preoperative (28.5 ± 2.5) points to postoperative (6.5 ± 2.2) points, and the QOL score decreased from preoperative (5.6 ± 0.6) points to (1.0) ± 0.4), Qmax preoperatively increased from (6.8 ± 1.5) ml / s to (2 1.5 ± 6.5) ml / s postoperatively and Ru decreased from (120 ± 80) ml preoperatively To (10 ± 8) ml. AFR (3.5 ± 1.0) ml / s increased to (10 ± 2.0) ml / s, there was significant difference between the 5 indexes before and after operation (all P> 0. 01). Conclusions further confirmed that open prostatectomy has the best clinical efficacy.