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目的 :探讨扩大 Madigan前列腺切除术的临床应用范围。方法 :经耻骨后在前列腺背膜“T”形切口 ,于背膜下钝性分离前列腺及与尿道粘连处直至切除腺体。结果 :既能切除增生两侧叶又能同时切除增生不超过 3cm的中叶。结论 :由于保持了尿道与膀胱颈的完整性 ,故术后出血少 ,恢复快 ,并发症少 ,住院时间短。提高本术式质量的关键是防止膀胱颈和尿道损伤 ,保持局部正常解剖。同时应将伴有膀胱内疾病 ,疑似前列腺癌及曾接受过射频、微波、注射及电切等治疗过的前列腺增生症 (BPH)患者列为禁忌
Objective: To explore the clinical application of Madigan prostatectomy. Methods: After the puborectalis in the prostate “T” shaped incision, blunt dissection of the prostate in the back of the prostate and urethral adhesions until the removal of the gland. Results: Both the removal of both sides of the proliferation of hyperplasia at the same time can not cut off more than 3cm in the middle leaves. Conclusion: Due to the integrity of the urethra and bladder neck, less postoperative bleeding, faster recovery, fewer complications and shorter hospital stay. The key to improve the quality of this procedure is to prevent bladder neck and urethral injury, to maintain normal local anatomy. Prostate hyperplasia (BPH) patients with bladder disease, suspected prostate cancer and those who have undergone RF, microwave, injection and resection should be tabooed