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目的:总结前列腺增生症术后行耻骨后前列腺癌根治手术的体会。方法:对11例经尿道前列腺电切、2例经耻骨上前列腺切除术后病理检查证实为前列腺癌的患者行耻骨后前列腺癌根治术,患者平均年龄65岁,TNM分期为T_(1a-b)4例,T_(1c)8例,T_(2b)1例。结果:13例平均随访2年,全部无瘤存活,1例发生尿道狭窄,1例发生轻度尿失禁,最大尿流率15～32ml/min,3例恢复性功能。结论:前列腺增生症术后前列腺尖部有一定程度粘连,在耻骨后前列腺癌根治术中,通过仔细解剖,采用保护耻骨前列腺韧带和膜部括约肌的方法,同样可获得满意的尿控效果。
Objective: To summarize the experience of radical prostatectomy for benign prostatic hyperplasia after operation. Methods: 11 cases of transurethral resection of prostate and 2 cases of prostate cancer confirmed by pathological examination after suprapubic prostatectomy were treated with radical retropubic prostatectomy. The mean age was 65 years. TNM stage was T 1a-b ) In 4 cases, T_ (1c) in 8 cases and T_ (2b) in 1 case. Results: Thirteen patients were followed up for 2 years on average. All patients survived without tumor, one patient had urethral stricture, one patient had mild urinary incontinence, the maximal uroflow rate was 15-32ml / min and three patients had restorative function. CONCLUSIONS: Prostatic hyperplasia has a certain degree of postoperative adhesions in the prostatic apex. Satisfactory results of urinary control can be obtained by carefully dissecting and preserving the pubic prostate ligament and membranous sphincter during radical prostatectomy of the pubis.