摘要
目的:评价保留前叶的经尿道前列腺切除术的疗效及其对术后尿失禁的避免作用,并初步探讨本术式的解剖学依据。方法:在86例BPH患者中,32例行保留前叶的经尿道前列腺切除术(1组),54例行传统的经尿道前列腺切除术(2组);并对比两组各临床参数,结合尿道括约肌的解剖学特征进行分析。结果:1组术后排尿通畅,剩余尿量均小于5 ml,无尿失禁发生。2组中有29例发生各种尿失禁。1组术后后尿道长度大于2组。结论:保留前叶的经尿道前列腺切除术疗效满意,并可有效避免对前列腺前方尿道括约肌的损伤,在一定程度上保留后尿道长度,从而有效避免术后尿失禁的发生。
Objective：To evaluate a method of anterior lobar reserved transurethral prostatectomy, its curative effect and function of avoiding postoperative incontinence. Study the anatomical basis of the method. Methods： 86 cases of benign prostatic hyperplasia, were divided into two groups, 32 of them underwent Transurethral prostatectomy with anterior lobar reserved, and the other 54 traditional transurethral prostatectomy. The clinical parameters were compared. Analyzed these data combined with anatomical characters of urethral sphincter complex. Results：No postoperative incontinence and dysuria occurred in the reserved group, contrast of 29 incontinence occurred in the traditional group. The post--operation posterior urethral length of reserved group was longer than that of traditional group. Conclusions：Anterior lobar reserved transurethral prostatectomy has satisfactory curative effect, and can avoid postoperative incontinence probably through protecting the urethral sphincter front of the prostate and preserving the post--operation posterior urethral length to some extent.
出处
《临床泌尿外科杂志》
北大核心
2010年第7期501-502,506,共3页
Journal of Clinical Urology
关键词
前列腺增生
经尿道前列腺切除术
尿失禁
尿道括约肌
benign prostatic hyperplasia
transurethral prostatectomy
incontinence
urethral sphincter
