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目的:评价保留前叶的经尿道前列腺切除术的疗效及其对术后尿失禁的避免作用,并初步探讨本术式的解剖学依据。方法:在86例BPH患者中,32例行保留前叶的经尿道前列腺切除术(1组),54例行传统的经尿道前列腺切除术(2组);并对比两组各临床参数,结合尿道括约肌的解剖学特征进行分析。结果:1组术后排尿通畅,剩余尿量均小于5 ml,无尿失禁发生。2组中有29例发生各种尿失禁。1组术后后尿道长度大于2组。结论:保留前叶的经尿道前列腺切除术疗效满意,并可有效避免对前列腺前方尿道括约肌的损伤,在一定程度上保留后尿道长度,从而有效避免术后尿失禁的发生。
OBJECTIVE: To evaluate the efficacy of transurethral resection of the prostate preserving the anterior leaflet and its role in avoiding postoperative urinary incontinence, and to explore the anatomic basis of this procedure. Methods: Of the 86 patients with BPH, 32 had undergone transurethral resection of the prostate (group 1) and 54 received conventional transurethral resection of the prostate (group 2). The clinical parameters of the two groups were compared with each other Anatomy of the urethral sphincter was analyzed. Results: In group 1, urination was smooth and residual urine volume was less than 5 ml. Urinary incontinence occurred. There were 29 cases of urinary incontinence in 2 groups. The length of urethra in postoperative group 1 was more than 2 groups. CONCLUSION: Transurethral resection of the prostate preserving the anterior leaflet is effective and effective in avoiding damage to the urethral sphincter in front of the prostate, preserving the length of the posterior urethra to a certain degree, and effectively avoiding postoperative urinary incontinence.