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本文报告340例前列腺增生症,行耻骨上前列腺摘除术150例,TURP40例,去势术6例,仅耻骨上膀胱造瘘术63例,取石并造痿术5例,膀胱癌切除电灼术4例,其他手术17例,未手术者55例。开放手术118例,TURP 29例获随访。疗效:开放手术组:优73.7%,良12.7%,中3.3%,差4.23%,死于其他疾病7例。TURP 组:优72.4%,良13.7%,中3.4%,差6.9%,术后1日死于心肌梗塞1例。开放手术组近期并发症较多(占45.33%),认为应将 TURP作为治疗前列腺增生症的主要手段。
This article reports 340 cases of benign prostatic hyperplasia, suprapubic prostatectomy in 150 cases, 40 cases of TURP, castration in 6 cases, only suprapubic cystostomy in 63 cases, lithotomy and impotence surgery in 5 cases, removal of bladder cancer 4 cases, 17 cases of other surgery, no surgery in 55 cases. 118 cases of open surgery, TURP 29 cases were followed up. Efficacy: open surgery group: excellent 73.7%, good 12.7%, 3.3%, poor 4.23%, died of other diseases in 7 cases. TURP group: excellent 72.4%, good 13.7%, 3.4%, poor 6.9%, 1 died of myocardial infarction in 1 case. In the open surgery group, there were more recent complications (45.33%), and TURP should be regarded as the main method for treating benign prostatic hyperplasia.