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改良的耻骨后前列腺切除术治疗前列腺肥大18例

Modified retropubis prostatectomy in 18 cases of prostatic hypertrophy
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摘要 目的:传统的耻骨后前列腺摘除术,切开前列腺包膜时,采用横形或纵形切口,各有优缺点。在此基础上探索一种兼有两者优点,最大程度克服缺点的新术式。方法:本组设计在切开前列腺被膜时,采用纵向弧形切口。结果:用该法治疗前列腺肥大患者18 例,术中出血量200~300ml,术后效果满意,平均连续冲洗膀胱2 ~4d,尿管留置7 ~8d,拔管后排尿通畅。无尿道狭窄及尿失禁。结论:本术式术野暴露充分,易止血、易操作,术后出血少,恢复快。 Purpose:By traditional way of retropubic prostatectomy cut the film of the gland open,there will be both advantages and disadvantages no matter it is horizontal cut or vertical cut.On this basis.I am trying to find a new methed of opeoation containing all the possible good points above excluding the bad ones.Method:In carrying out this group of operation use the vertical cut of curve to cut the subcapsular of the gland.Result:this method is used to cure 18 cases of BPH.The bleeding reaches 200~300ml and the result is satisfactory.After the operation,wash the bladder from 2 to 4 day continuously,keep the tube of urine in the urethra from 7 to 8 days.After taking away the tube,the patients can pass water esaily without wrethral stricture or incontinence.Conclusion:This way of operation is completely exposed and therefore is easy to stop bleeding,easy to carry out,and the patients can recover quickely. [
出处 《内蒙古医学杂志》 1999年第5期267-268,共2页 Inner Mongolia Medical Journal
关键词 前列腺摘除术 纵向弧形切口 前列腺肥大 prostatectomy vertical cut of curve
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