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目的研究前列腺切除的最佳术式。方法应用经膀胱保留后尿道前列腺切除术治疗28例前列腺增生症患者,并与同期施行的33例传统经膀胱前列腺切除术进行一系列临床指标的对比研究。结果前者除手术用时较长外,术后尿色转清时间、留置导尿管时间及住院时间均短于后者。术后2个月复查尿常规异常者明显少于后者。结论该术式既保留了传统经膀胱前列腺切除术的特点,又保持了尿道解剖结构的完整,术后恢复快,并发症少,生活质量提高,是一种简便有效、安全的治疗前列腺增生症的理想术式。
Objective To study the best technique of prostatectomy. Methods 28 cases of benign prostatic hyperplasia (BPH) were treated by transurethral resection of the urethra after resection of the bladder and compared with 33 cases of traditional transvesical prostatectomy performed in the same period. Results In addition to the former longer operation time, postoperative urinary color clear time, indwelling catheterization time and hospitalization time are shorter than the latter. Urine routine examination 2 months after surgery was significantly less than the latter. Conclusion The technique not only retains the characteristics of traditional transurethral resection of the prostate but also maintains the integrity of the urethra anatomy, rapid postoperative recovery, fewer complications and improved quality of life. It is a simple, effective and safe method for the treatment of benign prostatic hyperplasia The ideal surgery.