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目的:探讨改良Pfannenstiel切口在耻骨上经膀胱前列腺摘除术中的疗效和优势。方法:随机对63例BPH患者采用改良Pfannenstiel切口行耻骨上经膀胱前列腺摘除术,观察术后切口的愈合情况、手术平均时间,术后患者的体位、切口的疼痛、切口的张力、生活质量、术后并发症等指标的差异。结果:采用下腹部改良Pfannenstiel切口,完全可以替代直切口,切口暴露好,张力小,感染率明显下降,并发症少,切口小而美观,对合并腹股沟斜疝者无须另取切口,可一次完成。结论:改良Pfannenstiel切口在耻骨上经膀胱前列腺摘除术的治疗中是一种安全有效的方法,它具有操作简单,手术时间短,愈合速度快,出血量少,恢复快的优点,从解剖学上避免了下腹部腹直肌后鞘不完整造成的弊端,降低了切口疝的发生率;有很好的临床应用价值。
Objective: To investigate the efficacy and advantages of modified Pfannenstiel incision in suprapubic transvesical prostatectomy. Methods: 63 cases of BPH patients were treated with modified Pfannenstiel incision on suprapubic transvesical prostatectomy. The healing of postoperative incision, the average time of operation, postoperative patient’s position, incision pain, incision tension, quality of life, Postoperative complications such as indicators of differences. Results: The lower abdomen improved Pfannenstiel incision, can replace the straight incision, good incision exposure, small tension, the infection rate was significantly reduced, fewer complications, incision small and beautiful, no need for incision with inguinal hernia, and can be completed in one . Conclusions: The modified Pfannenstiel incision is a safe and effective method in the treatment of suprapubic transvesical prostatectomy. It has the advantages of simple operation, short operative time, fast healing, less bleeding and quick recovery. From anatomical To avoid the lower abdomen rectus abdominis caused by incomplete defects, reducing the incidence of incisional hernia; have a good clinical value.