保留尿道前列腺切除术的临床应用体会  

A clinical experience in Madigan′s prostatectomy for benign prostatic hyperplasia

作　　者：俞海涛[1] 刘晓峰[1] 李荣军[1] 李海潮[1] 

机构地区：[1]大同市第三人民医院,037008

出　　处：《山西医药杂志》2002年第2期105-106,共2页Shanxi Medical Journal

摘　　要：目的　通过对保留尿道前列腺切除术 (Madigan前列腺切除术 )治疗前列腺增生症 (BPH)的经验总结 ,探讨 Madigan前列腺切除术的优点。方法　回顾性分析 1999年 3月至 2 0 0 1年 4月收治 2 3例采用 Madigan前列腺切除术治疗前列腺增生症的患者的临床资料。结果　术后恢复快 ,并发症少 ,术后随访 3～ 2 4个月 ,疗效满意。结论　 Madigan前列腺切除术保留了尿道完整性 ,术后痛苦小 ,恢复快 ,并发症甚少 ,护理方便 ,住院时间短。其适应证为以侧叶增生为主 ,中叶无明显增生 ,无膀胱内疾病 ,未接受过射频、微波。Objective To inquire into the merits of Madigan′s prostatectomy by summing up the experience of Madigan′s prostatectomy for benign prostatic hyperplasia (BPH).Method Clinical data of 21 cases of BPH that underwent Madigan′s prostatectomy from Mar 1999 to Apr 2001 were analysed retrospectively.Results The advantages of the procedure were quick recovery and less complication.The patients have been followed up for 3～24 months,with statisfactory results in all.Conclusion The advantages of the procedure were the preservation of prostatic urethra,little pain,fast recovery,less complication,easy nursing,and shorter postoperative hospital stay.Madigan′s prostatectomy is indicated mainly in cases of laterolobar hyperplasia with an inapparent midlobar one;the patient must be without intravesical disease,and hadn′t received radiofrequency,microwave,injection and electrocision therapies.

关 键 词：前列腺切除术 前列腺增生症 保留尿道 BPH 

分 类 号：R699.8[医药卫生—泌尿科学]