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采用结扎前列腺动脉尿道外前列腺切除术(Madigan术式)治疗前列腺增生症50例,结果50例均无手术并发症,失血量平均为218ml,无输尿管损伤,保留了前行射精功能.认为尿道外前列腺切除术保持尿道的完整性,不会有尿液外渗和血液进入尿路;预先结扎前列腺动脉,.可提供一个无血的操作环境,使手术从容进行.进一步证实Madigan术式疗效较好,并发症少,值得临床应用.
50 cases of benign prostatic hyperplasia were treated with ligation of prostatic artery and extraurethral resection of the prostate (Madigan operation), and no complications were found in 50 cases. The average blood loss was 218 ml without ureteral injury, which preserved the function of ejaculation Prostatectomy to maintain the integrity of the urethra, there will be no extravasation of urine and blood into the urinary tract; pre-ligating the prostate artery, can provide a blood-free operating environment, the surgery calmly further confirmed Madigan surgery is better , Less complications, it is worth clinical application.