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自1989年我们对膀胱癌合并前列腺增生症的10例病人进行了膀胱部分切除及同步前列腺部尿道气囊扩张术,效果满意,报告如下: 临床资料本组10例病人,年龄49-74岁,平均62岁。膀胱肿瘤临床分期为T_1期3例,T_2期7例。病理为移行上皮细胞癌Ⅰ级4例,Ⅱ级6例。全部病人均有排尿困难症状,表现为尿频,排尿不畅,尿流细而无力,尿滴沥等。2例有急性尿潴留病史。前列腺增生分度为Ⅱ°6例,Ⅲ°4例。合并高血压4例,冠心病3例,糖尿病2例。手术方法仰卧位,下腹正中切口,切开膀胱探查,行膀胱部分切除后,经尿道向膀胱内置入JK-4型金属管隐蔽气囊前列腺扩张器,拉开推拉
Since 1989, we bladder cancer with BPH in 10 patients with partial resection of the bladder and synchronous urethral balloon dilatation of the prostate, the results are as follows: Clinical data The group of 10 patients, aged 49-74 years, mean 62 years old. The clinical stage of bladder cancer was T_1 in 3 cases and T_2 in 7 cases. Pathological transitional cell carcinoma of grade Ⅰ in 4 cases, Ⅱ grade in 6 cases. All patients have symptoms of dysuria, manifested as frequent urination, poor urination, thin and weak urine, urinary dribbling and so on. 2 cases had a history of acute urinary retention. Benign prostatic hyperplasia Ⅱ ° 6 cases, Ⅲ ° 4 cases. 4 cases of hypertension, coronary heart disease in 3 cases, 2 cases of diabetes. Surgical approach supine position, incision in the middle of the lower abdomen, incision of the bladder exploration, the bladder partial resection, the transurethral bladder into the JK-4 type metal tube hidden balloon prostate dilator, opened the push and pull