改良耻骨上前列腺切除术65例报告

Report of 65 cases of modified suprapubic prostatectomy

目的评价改良耻骨上前列腺切除术的应用效果。方法耻骨上前列腺切除术患者130例,年龄58岁～81(平均69.2±4.7)岁,随机分为传统组和改良组各65例。比较两组术后出血量、冲洗液总量、切口感染或裂开及尿瘘发生比例、术后住院天数。随访4个月,比较两组最大尿流量、残余尿量。结果传统方法组与改良方法组其术后出血量、冲洗液总量、切口感染或裂开及尿瘘发生比例、术后住院天数,分别为(107±29)ml及(58±16)ml、(49425±9081)ml及(21764±4157)ml、(25/65)及(3/65)、(18/65)及(1/65)、(15±3)天及(9±2)天,组间比较差异有非常显著性意义(P<0.001)。术后4个月,54例传统组患者和59例改良组患者获随访,其两组最大尿流率、残余尿量比较差异无显著性意义(P>0.05)。结论改良耻骨上前列腺切除术能明显减少术后并发症,缩短术后住院时间。

Objective To evaluate the effect of modified procedure of suprapubic prostatectomy. Methods 130 cases of suprapubic prostatectomy （aged from 58 to 81 years average （69.2 ± 4.7） were randomly divided into two groups： the traditional procedure（65 patients）and modified procedure group（65 pationts）.The bleeding volume after oper- ation,total irrigating fluid volume,infection or disruption of wound,urinary fistula, length of hospital stay after operation were measured and compared between the 2 groups. Followed up for 4 months,the maximum flow rate （Qmax） and the postvoid residual （PVR） urine were compared between the 2 groups. Results The date of traditional procedure group and modified procedure group bleeding volume after operation was（107 ± 29） ml vs（58 ± 16） ml;total irrigating fluid volume,（49 425 ± 9 081） ml vs （21 764 ± 4 157） ml;infection or disruption of wound,（25/65） vs （3/65）;urinary fistula,（18/65） vs （1/65）;length of hospital stay after operation,（15 ± 3） d vs （9 ± 2） d.Significant differences were found berween the 2 groups （P〈0.001）.Of all the cases,54 of traditional procedure group and 59 of procedure group were followed up for 4 months,Qmax and PVR were compared,no significant difference was found between the 2 groups. Conclusion Modified procedure of suprapubic prostatectomy can obviously reduce complication rates and shorten hospital stay after operation.