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本文总结了前列腺增生症330例。年龄最小47岁,最大92岁,平均年龄66.8岁。临床症状以排尿困难为主,占84.50％,尿潴留占52.20％。肛门指诊二、三度增生占78.06％。对比各种治疗方法,认为前列腺摘除术是唯一可靠的方法,尤其是耻骨上法既简单安全,又操作方便,易于掌握。190例前列腺摘除术合并症有106例次。其中主要者有:出血20例;尿漏15例;排尿障碍13例;副睾炎6例;尿失禁2例;切口感染16例;尿道狭窄1例;呼吸道感染16例。术后死亡6例。并对合并症的原因及处理措施进行了讨论。
This article summarizes 330 cases of benign prostatic hyperplasia. The youngest 47 years old, maximum 92 years old, average age 66.8 years old. Clinical symptoms mainly dysuria, accounting for 84.50%, urinary retention accounted for 52.20%. Anal second, third degree accounted for 78.06%. Contrast to a variety of treatment methods, that prostatectomy is the only reliable method, especially the suprapubic method is simple and safe, and easy to operate, easy to grasp. 190 cases of prostatectomy complications in 106 cases. The main ones are: bleeding in 20 cases; urinary leakage in 15 cases; voiding dysfunction in 13 cases; biliary pain in 6 cases; urinary incontinence in 2 cases; incision infection in 16 cases; urethral stricture in 1 case; respiratory tract infection in 16 cases. Postoperative death in 6 cases. The causes of the comorbidity and the treatment measures were discussed.