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前列腺增生症所致的排尿困难,尿潴留为老年男性患者之常见病,治疗上采用前列腺切除术。但因年迈体弱,心肺功能不佳等情况,不能耐受其手术者,我们采用睾丸切除及膀胱造瘘术治疗取得较好效果,现报告如下。 一般资料 我院1978～1986年采用睾丸切除及耻骨上膀胱造瘘术治疗前列腺增生症52例。年龄最小66岁,最大为84岁,75岁以上者39例(占75％)。本组中有48例年迈体弱或伴有较严重的心血管等疾病,其中高血压20例,冠心病12例,肺心病7例,偏瘫5例,体弱或其他疾病4例。另外4例不同意接受前列腺切除术而自愿要求睾丸切除术。均为急性尿潴留入院。肛诊前列腺Ⅱ度增生41例,Ⅲ度增生11例。
Prostatic hyperplasia dysuria due to urinary retention as a common disease in elderly men, the treatment of prostatectomy. However, due to the elderly frail, poor cardiopulmonary function, etc., can not tolerate its surgery, we use orchidectomy and cystostomy treatment achieved good results, are as follows. General Information Our hospital from 1978 to 1986, orchiectomy and suprapubic cystostomy in the treatment of benign prostatic hyperplasia in 52 cases. The youngest 66 years old, the largest is 84 years old, 39 cases over 75 years old (75%). The group of 48 elderly frail or associated with more serious cardiovascular diseases, including hypertension in 20 cases, 12 cases of coronary heart disease, pulmonary heart disease in 7 cases, hemiplegia in 5 cases, frail or other diseases in 4 cases. The other 4 patients did not agree with the prostatectomy and voluntary orchidectomy. Are acute urinary retention admission. Rectal diagnosis of benign prostatic hyperplasia in 41 cases, Ⅲ degree of hyperplasia in 11 cases.