不隔离腺窝的耻骨上前列腺切除术的安全性和效果观察(英文)  

Observation of safety and efficacy of suprapubic transve sical prostatectomy without partition of prostatic fossa

作　　者：张东江[1] 晏继银[1] 许汉标[1] 杨伟忠[1] 邓锦标[1] 何峰[1] 蔡华戈[1] 阿秀梅[1] 

机构地区：[1]广东省惠州市人民医院泌尿外科,广东惠州516002

出　　处：《中国现代医学杂志》2004年第6期41-43,共3页China Journal of Modern Medicine

摘　　要：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 observe safety and efficacy of suprapubic transvesical prostatectomy without partition of prostatic fossa.Methods:70 patients were treated b y suprapubic transvesical prostatectomy without partition of prostatic fossa fro m Aug. 1999 to Dec. 2002. Results: Average operation time was (5 5±35) min ,the prostate adenoma removed was (65±35)g. An indwelling catheter was required for ( 5.5±2.5) days. Neither incontinence nor bladder outlet obstr uction has been noted. IPSS decreased from preoperative (28.5±2.5) to postopera tive (6.5± 2.0 ),QOL decreased from preoperative (5.6±0.6) to (1.0±0.4),Q max increased from preoperative (6.8±1.5)ml/s to postoperative (21.5±6.5)ml/s. RU decreased from preoperative (120±80) to postoperative (10±8)ml,AFR increa sed from (3.5±1.0) ml/s to (10.0±2.0) ml/s. All these differences were markab le significant ( P <0.01). Conclusions: Open prostatectomy i s excellent curative effect in clinical.

关 键 词：前列腺增生 外科 开放手术 

分 类 号：R697[医药卫生—泌尿科学]