CAJ | 학술논문

目的探讨改良Pfannenstiel切口与下腹部直切口对前列腺摘除术的安全性及术后切口愈合的优缺点方法随机对82例前列腺肥大患者采用改良Pfannenstiel切口行耻骨上经膀胱前列腺摘除术,和60例前列腺肥大患者采用下腹部直切口行耻骨上经膀胱前列腺摘除术,术后对切口的愈合情况及其并发症进行回顾性对照性研究和远期疗效观察结果采取下腹部直切口患者出现切口感染者9例,切口裂开5例,切口积血3例,皮下瘀血2例,出现下腹部切口疝4例.采用下腹部改良Pfannenstiel切口患者切口皮下瘀血1例,无1例出现切口疝及感染.结论耻骨上经膀胱前列腺摘除术,采用下腹部改良Pfannenstiel切口,切口感染率明显下降,并发症少,切口小而精美,愈合速度快,切口疝发生率低,手术时间短,术中暴露好,出血少;患者第二天即可半卧位,减轻了切口的张力,减少了呼吸道并发症;对合并腹股沟斜疝者无须另取切口.因此改良Pfannenstiel切口明显的优于下腹部直切口;值得临床推广使用.
목적 탐토개량Pfannenstiel절구여하복부직절구대전렬선적제술적안전성급술후절구유합적우결점방법수궤대82례전렬선비대환자채용개량Pfannenstiel절구행치골상경방광전렬선적제술,화60례전렬선비대환자채용하복부직절구행치골상경방광전렬선적제술,술후대절구적유합정황급기병발증진행회고성대조성연구화원기료효관찰결과채취하복부직절구환자출현절구감염자9례,절구렬개5례,절구적혈3례,피하어혈2례,출현하복부절구산4례.채용하복부개량Pfannenstiel절구환자절구피하어혈1례,무1례출현절구산급감염.결론 치골상경방광전렬선적제술,채용하복부개량Pfannenstiel절구,절구감염솔명현하강,병발증소,절구소이정미,유합속도쾌,절구산발생솔저,수술시간단,술중폭로호,출혈소;환자제이천즉가반와위,감경료절구적장력,감소료호흡도병발증;대합병복고구사산자무수령취절구.인차개량Pfannenstiel절구명현적우우하복부직절구;치득림상추엄사용.
Objectives To evaluate the efficacy heal of incision and investigate safety of Modified Pfannenstiel incision with lower abdominal straight approach for suprapubic prostatectomy. Methods 82 patients with BPH underwent the treatments of Modified Pfannenstiel incision in suprapubic prostatectomy ,60 patients with BPH underwent the treatments of lower abdominal straight incision in suprapubic prostatectomy , and the operative. Results Were assessed using following parameters: efficacy heal of incision,operative complications ,and therapeutic observation at a specified future date. Results: 60 patients with BPH underwent the treatments of lower abdominal straight incision for suprapubic prostatectomy. In this group,9 were infect of incison, 5 split open of incison, 3 accumulated hood of incison, 2 extravasated blood of subcutaneous tissue, 4 Incisional hernia . The usage of Modified Pfannenstiel incision in suprapubic prostatectomy were not infect of incison and hernia of incison, only 1 extravasated blood of subcutaneous tissue. It has not infect of incison and hernia of incison. Conclusions The usage of Modified Pfannenstiel incision in suprapubic prostatectomy , It has many advantages such as minimal injury , few infection of incison rat ,little of incison and exquisitely , less complications, short operative time, little blood loss and rapid recoverment, less heal of incision rat,minimal tension of incison ,bodily from of patient the second days in the operative , less complications respiratory tract, excellent exposure, minimal tension of incison, you neednt take other incision as for patient complication incorporation hernia. The usage of Modified Pfannenstiel incision is an excellent treatment for BPH . It was provides both excellent exposure and better cosmetic results compare with lower abdominal straight approach for suprapubic prostatectomy. It was worth application and dissemination in the clinical.