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前列腺增生引起的尿流动力学改变之一就是后尿道压力增高。作者设计:经脐下正中切口,由耻骨后间隙显露膀胱颈及前列腺。经膀胱颈上1.5cm向前列腺前中线上端作纵切口,切开外膜及肌层,保留粘膜。由此,用长弯钳分离前列腺组织与其包绕的尿道粘膜,满意后即用2钳分夹于前列腺前中线旁0.5cm 处,在其间切断前列腺包膜及其下的前列腺组织。2—0铬制肠线间断缝合上述切口边缘。耻骨后置一血浆引流管,尿道内留置导尿管.术后2天拔除导尿管,病人即可自解小便。用这种手术方法治疗68例一般情况差的病人,62例排尿情况明显改
One of the urodynamic changes caused by benign prostatic hyperplasia is an increase in posterior urethral pressure. The authors design: the median incision after the umbilical, pubic neck revealed by the posterior pubis neck and prostate. The bladder neck by 1.5cm to the anterior midline of the prostate for longitudinal incision, cut the outer membrane and muscle, mucosa. Thus, with a long-bending forceps separation of prostate tissue and its surrounding urethral mucosa, satisfied with 2 pliers then clip 0.5cm next to the anterior midline of the prostate, during which the prostate capsule and cut off the prostate tissue. 2-0 chrome catgut intermittently suture the above incision edge. After a pubic symphysis of plasma drainage tube, urinary catheter indwelling urethral catheter removed 2 days after surgery, the patient can self-solve urine. With this surgical treatment of 68 cases of poor patients in general, 62 cases of urination was significantly changed