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对61例前列腺增生症(BPH)患者,根据不同情况选择不同的手术方法,其中经尿道前列腺汽化术21例,置入形状记忆合金前列腺尿道支架18例,耻骨上前列腺切除术22例,随访2～26个月.认为三种手术均能有效地解除BPH致膀胱出口梗阻的症状,对身体状况一般的Ⅰ°～Ⅱ°BPH患者首选经尿道前列腺汽化术;置入支架是高龄、高危BPH患者的首选手术方法;对前列腺增生Ⅲ°以上而身体状况较好的患者,比较合适的手术方法是耻骨上前列腺切除术.
In 61 cases of BPH patients, different surgical methods were selected according to different situations, including 21 cases of transurethral vaporization of the prostate, 18 cases of shape-memory alloy prostate urethral stent, 22 cases of suprapubic prostatectomy, followed up 2 ~ 26 months.It is considered that all the three kinds of surgeries can effectively relieve the symptoms of bladder outlet obstruction caused by BPH and the transurethral vaporization is the best choice for those with Ⅰ ° ~ Ⅱ ° BPH in general health condition.The patients with advanced BPH Of the preferred surgical methods; benign prostatic hyperplasia more than Ⅲ ° and good physical condition in patients with more appropriate surgical method is suprapubic prostatectomy.