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我院自1989年5月至今,采用二尖瓣扩张器经尿道行“前列腺扩裂”治疗10例高龄前列腺增生症,收到较好疗效,现报导如下:临床资料年龄:61～80岁,平均72.2岁。病程1月～5年。均有排尿细慢表现。8例有尿潴留。术前常规作“B 超”,以排除膀胱内各种继发病变,前列腺突入膀胱内者4例,各为1.3cm、1.4cm1.5cm、1.8cm。1例有双肾积水,“扩裂”后消失,BUN、Cr 全部在正常范围内。前列腺均在Ⅱ°(?)大小,中间沟均消失。1例糖尿病和哮喘病,3例有偏瘫、1例有严重“驼背”,均属老年体弱患者。均鞍麻下截石位行术,扩裂宽度为3.5～4cm,用液囊尿管压于“扩裂”后的裂隙中1～2天,2天后放去囊中液,4～5天拔除:常规作耻骨上膀胱穿刺造瘘,作术后冲洗引流用,7～10天拔除;拔管后首次排尿150～
Our hospital since May 1989 to date, the use of mitral valve dilator transurethral line “Prostate dissection” treatment of 10 cases of benign prostatic hyperplasia, received good effect, are reported as follows: Clinical data Age: 61 to 80 years old, Average 72.2 years old. Duration of 1 month to 5 years. Have slow micturition performance. 8 cases of urinary retention. Preoperative routine for “B-ultra” to rule out a variety of bladder secondary lesions, the prostate into the bladder in 4 cases, each 1.3cm, 1.4cm1.5cm, 1.8cm. 1 case of bilateral hydronephrosis, “rupture” disappeared, BUN, Cr all within the normal range. Prostate are Ⅱ ° (?) Size, disappearance of the middle groove. 1 case of diabetes and asthma, 3 cases of hemiplegia, 1 case of severe “humpback”, are frail elderly patients. Are saddled lithotomy under anesthesia, the expansion of the width of 3.5 ~ 4cm, the use of liquid capsule pressure in the “cracked” after the cracks in the 1 to 2 days, 2 days after the release of cyst fluid, 4 to 5 days Removal: Conventional suprapubic bladder puncture fistula for irrigation after drainage, removal of 7 to 10 days; extubation after the first urination 150 ~