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目的评价结扎膀胱前列腺侧血管蒂改良保留尿道前列腺切除(Madigan)手术的治疗效果。方法对65例有症状的前列腺增生症(BPH)患者行改良保留尿道前列腺切除术,术后随访1月～1年,通过国际前列腺症状评分(IPSS)、生活质量评分(QOL)和最大尿流率观察治疗效果。结果IPSS由术前(25.6±2.1)分降至术后(7.2±1.2)分,Qmax由术前(7.9±2.2)ml/s提高到术后(19.1±2.5)ml/s。结论结扎膀胱前列腺侧血管蒂保留尿道前列腺切除术是可行的,降低了改良保留尿道前列腺切除术的难度。
Objective To evaluate the efficacy of modified ligation of the prostate on the prostatic side of the prostate in the preservation of the prostatic urethra (Madigan). Methods Sixty-five patients with benign prostatic hyperplasia (BPH) underwent modified preservation of the prostatic urethra (BPH). The patients were followed up for 1 month to 1 year. According to the International Prostate Symptom Score (IPSS), Quality of Life Score (QOL) Rate observed treatment effect. Results The IPSS decreased from preoperative (25.6 ± 2.1) to postoperative (7.2 ± 1.2) points and Qmax increased from preoperative (7.9 ± 2.2) ml / s to postoperative (19.1 ± 2.5) ml / s. Conclusions It is feasible to ligate the prostate of the bladder to retain the prostatic urethra and reduce the difficulty of improving the preservation of the prostatic urethra.