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先天性精阜增生症临床较罕见.手术是最主要的治疗方法。自1983年以来,作者在经膀胱途径的基础上,根据膀胱三角区Bcll氏肌的解剖学特点,设计通过Bell氏肌的牵引切除法。通过4例临床实践和1例精阜探查,效果满意,现介绍如下。一、手术方法:(1)仰卧位,臀垫高,下腹正中切口,暴露膀胱颈及前列腺包膜。(2)在包膜中部两侧作两根牵引线,在两线之间纵行切开前列腺部尿道的近侧1/2～2/3和膀胱颈部。为防止切口下裂,在切口下端预先缝扎一针。(3)在尿道内口的膀胱颈后唇处,通过Bell氏肌全层缝一针4号牵引线。术者将此线向后上方牵引,助手同时将包膜上牵引线向两侧
Congenital fine Fu hyperplasia clinical rare. Surgery is the most important treatment. Since 1983, on the basis of the bladder route, the authors designed a traction resection through the Bell’s muscle according to the anatomical features of the Bcll’s muscle in the trigone of the bladder. Through 4 cases of clinical practice and 1 case of fine Fu exploration, the results are satisfactory, are presented below. First, the surgical methods: (1) supine position, buttocks pad high, incision in the lower abdomen, bladder neck and prostate capsule exposed. (2) In the middle of the capsule on both sides of the two pull lines, longitudinal incision between the two lines of the prostate urethra proximal 1/2 ~ 2/3 and bladder neck. In order to prevent the incision under the incision in the lower part of the pre-suture a needle. (3) in the mouth of the urethra, bladder neck posterior lip, through the Bell muscle full layer sewing a needle No. 4 traction line. The surgeon will be the top of this line traction, assistant at the same time will be coated traction wire to both sides