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我院从1995年2月～1999年12月对14例前列腺增生症患者采用了耻骨后保留后尿道前列腺增生切除术.本术式不仅完整切除增生前列腺组织,而且能保留尿道粘膜,现报告如下.1 资料和方法1.1 一般资料:治疗组14例,年龄50～80岁,平均65岁.14例均有典型前列腺增生的临床表现.其中尿潴留10例,其余4例残余尿>50 ml,最大为300 ml,术前患者均经肛诊,B超检查前列腺左右径平均4.8 cm,前后径平均4.5 cm,膀胱镜检查除外膀胱内病变(肿瘤、结石、输尿管间嵴肥厚、膀胱颈挛缩).术前PSA>10 ng/ml(正常值<4 ng/ml)者均行经会阴前列腺穿刺活检,除外前列腺癌,除外神经源性膀胱功能障碍.尿培养阳性者术前给予抗生素治疗.术前双肾积水、肾功能减退者3例,经引流尿液,肾功能恢复后手术.
Our hospital from February 1995 to December 1999 on the 14 cases of benign prostatic hyperplasia patients with retropubic prostatectomy after removal of prostatic hyperplasia not only complete removal of prostate tissue, and can retain the urethral mucosa, are reported as follows .1 Materials and Methods 1.1 General Information: The treatment group of 14 patients, aged 50 to 80 years, mean 65 years old.All of the 14 cases showed typical clinical manifestations of benign prostatic hyperplasia, of which 10 cases of urinary retention, the remaining 4 cases of residual urine> 50 ml, The maximal diameter was 300 ml. The patients underwent transanal diagnosis before operation. The diameter of the left and right prostate was 4.8 cm on average and the anteroposterior diameter was 4.5 cm on average. The cystoscopy excluded intravesical lesions (tumors, stones, ureteral crest hypertrophy and bladder neck contracture) Preoperative PSA> 10 ng / ml (normal <4 ng / ml) underwent perineal prostate biopsy, except for prostate cancer, except for neurogenic bladder dysfunction.A positive urine culture was given antibiotics before surgery. Hydronephrosis, renal dysfunction in 3 cases, the drainage of urine, renal function recovery surgery.