改良Madigan前列腺切除术22例分析
Modified Madigan prostatectomy for prostatic hyperplasia in 22 patients
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摘要: 目的: 总结改良Madigan前列腺切除术治疗前列腺增生症(BPH)的经验。方法: 回顾性分析22例BPH患者的临床资料,简述改良手术方法及特点。结果: 19例尿道无损伤,3例尿道损伤中仅有1例行尿道修补。术中除1例出血量达950ml需输血外,其余21例术中出血100~650ml,均未输血。手术时间60~120min,术后随访2~14个月,无膀胱痉挛、尿道狭窄、尿失禁、性功能丧失等。结论: 改良Madigan前列腺切除术术后出血少,处理简单,恢复快,并发症少,住院时间短等,是治疗BPH较为理想的开放手术术式。Abstract: Objective: To evaluate the surgical efficacy of the modified Madigan prostatectomy for prostatic hyperplasia (BPH). Methods: A retrospective analysis of 22 patients with BPH was conducted and the method and the feature of the operation were described. Results: One patient needed urethral repair in 3 patients with urethral injury and the other 19 patients had no urethral injury. One patient needed blood transfusion with the intraoperative blood loss of 950 ml. The blood loss in the other 21 patients ranged from 100 to 650 ml and no blood transfusion were needed in the operation. The operating time was between 60 and 120 minutes. Follow-up examinations for 2 to 14 months showed that no antegrade ejaculation, incontinence, urethral stricture or impotence occurred. Conclusions: The modified Madigan prostatectomy has the advantages such as the less postoperative bleeding, faster recovery, less complications and hospitalization time. It is an ideal open operation procedure.