中国现代医学杂志
中國現代醫學雜誌
중국현대의학잡지
CHINA JOURNAL OF MODERN MEDICINE
2004年
6期
41-43
,共3页
张东江%晏继银%许汉标%杨伟忠%邓锦标%何峰%蔡华戈%阿秀梅
張東江%晏繼銀%許漢標%楊偉忠%鄧錦標%何峰%蔡華戈%阿秀梅
장동강%안계은%허한표%양위충%산금표%하봉%채화과%아수매
前列腺增生%外科%开放手术
前列腺增生%外科%開放手術
전렬선증생%외과%개방수술
prostatic hyperplasia%surgery%open prostatectomy
目的观察不隔离腺窝的耻骨上经膀胱前列腺切除术的安全性和效果.方法采有用不隔离腺窝的方法治疗前列腺增生症70例.结果剜出的腺瘤(65±35)g,保留导尿管时间(5.5±2.5)d,膀胱造瘘时间(9.2±3.3)d.术后排尿正常,无尿失禁.IPSS评分由术前(28.5±2.5)分减至术后(6.5±2.2)分,QOL评分由要术前的(5.6±0.6)分减至(1,0±0.4)分,Qmax术前(6.8±1.5)ml/s升到术后的(21.5±6.5)ml/s,Ru从术前的(120±80)md减少至(10±8)ml.AFR(3.5±1.0)ml/s升至(10.0±2.0)ml/s,手术前后5项指标差别有显著意义(均P>0.01).结论进一步证实开放前列腺切除术具有最好的临床疗效.
目的觀察不隔離腺窩的恥骨上經膀胱前列腺切除術的安全性和效果.方法採有用不隔離腺窩的方法治療前列腺增生癥70例.結果剜齣的腺瘤(65±35)g,保留導尿管時間(5.5±2.5)d,膀胱造瘺時間(9.2±3.3)d.術後排尿正常,無尿失禁.IPSS評分由術前(28.5±2.5)分減至術後(6.5±2.2)分,QOL評分由要術前的(5.6±0.6)分減至(1,0±0.4)分,Qmax術前(6.8±1.5)ml/s升到術後的(21.5±6.5)ml/s,Ru從術前的(120±80)md減少至(10±8)ml.AFR(3.5±1.0)ml/s升至(10.0±2.0)ml/s,手術前後5項指標差彆有顯著意義(均P>0.01).結論進一步證實開放前列腺切除術具有最好的臨床療效.
목적관찰불격리선와적치골상경방광전렬선절제술적안전성화효과.방법채유용불격리선와적방법치료전렬선증생증70례.결과완출적선류(65±35)g,보류도뇨관시간(5.5±2.5)d,방광조루시간(9.2±3.3)d.술후배뇨정상,무뇨실금.IPSS평분유술전(28.5±2.5)분감지술후(6.5±2.2)분,QOL평분유요술전적(5.6±0.6)분감지(1,0±0.4)분,Qmax술전(6.8±1.5)ml/s승도술후적(21.5±6.5)ml/s,Ru종술전적(120±80)md감소지(10±8)ml.AFR(3.5±1.0)ml/s승지(10.0±2.0)ml/s,수술전후5항지표차별유현저의의(균P>0.01).결론진일보증실개방전렬선절제술구유최호적림상료효.
Objective: To observe safety and efficacy of suprapubic transvesical prostatectomy without partition of prostatic fossa. Methods :70 patients were treated by suprapubic transvesical prostatectomy without partition of prostatic fossa from Aug. 1999 to Dec. 2002. Results: Average operation time was (55 ± 35) min , the prostate adenoma removed was (65 ± 35)g. An indwelling catheter was required for ( 5.5 ± 2.5) days. Neither incontinence nor bladder outlet obstruction has been noted. IPSS decreased from preoperative (28.5 ± 2.5 ) to postoperative (6.5 ±2.0), QOL decreased from preoperative (5.6 ± 0.6) to ( 1.0 ± 0.4), Qmax increased from preoperative (6.8 ± 1.5 ) ml/s to postoperative (21.5 ± 6.5 ) ml/s. RU decreased from preoperative ( 120 ± 80) to postoperative ( 10 ± 8 )ml, AFR increased from (3.5 ± 1.0) ml/s to (10.0 ± 2.0) ml/s. All these differences were markable significant(P < 0.01). Conclusions: Open prostatectomy is excellent curative effect in clinical.