经膀胱保留后尿道前列腺切除术与传统前列腺切除术的对比研究

A comparative study of suprapubic transvesical prostatectomy with preservation of prostatic urethra and classical prostatectomy in bengin prostatic hypertrophy

目的研究前列腺切除的最佳术式。方法应用经膀胱保留后尿道前列腺切除术治疗28例前列腺增生症患者，并与同期施行的33例传统经膀胱前列腺切除术进行一系列临床指标的对比研究。结果前者除手术用时较长外，术后尿色转清时间、留置导尿管时间及住院时间均短于后者。术后2个月复查尿常规异常者明显少于后者。结论该术式既保留了传统经膀胱前列腺切除术的特点，又保持了尿道解剖结构的完整，术后恢复快，并发症少，生活质量提高，是一种简便有效、安全的治疗前列腺增生症的理想术式。

Objective To study the best way of prostatectomy. Methods To compare the clinicalindex of suprapubic transvesical prostatectomy with preservation of the prostatic urethra performed in 28cases of BPH (group Ⅰ ) with that of classical prostatectomy performed in 33 cases of BPH (group Ⅱ ).Results It's showed that the postoperative time of bleeding in urine, indwelling catheter and admission ingroup Ⅰ was shortened except operative time. Also few postoperative abnormality of urine examination in2 months was found in group i. Conclusions Suprapubic transvesical prostatectomy with preservation ofthe prostatic urethra is a simple, effective, saft and economic operation to cure BPH because it not onlykeeps the characteristics of classical prostatectomy,but also maintains intact anatomic structure of urethra,low complications, rapid recovering and improving quality of life.