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目的观察膀胱瓣成形前列腺切除术在老年前列腺增生患者应用的可行性及效果。方法分析耻骨上经膀胱行膀胱瓣成形前列腺切除术治疗63例老年前列腺增生患者临床资料。结果63例中,55例(87. 3%)平均随访23个月,平均手术时间60min,平均留置导尿管3d,平均膀胱冲洗2d,其中39例((61. 9%)于术后当天冲洗液转清,平均住院时间9d。有55例(97. 3%)经8～36个月(平均23个月)的随访,术后1个月内发生并发症3例((4.8%),其中2例尿道外口狭窄,1例有不同程度的膀胱激惹症状和尿线无力。均经保守治疗后症状在5周内消失。术后5个月国际前列腺症状评分为(9. 8±4. 2)分、生活质量指数为((1. 9±0. 3 )分、最大尿流率为(18. 5±3. 8)ml/s、残余尿量为(49. 1±20. 2)m1,均较术前有改善,差异有统计学意义(均为P＜0.01)。结论膀胱瓣成形前列腺切除术对老年前列腺增生患者是一种较安全、有效、并发症少的方法。
Objective To observe the feasibility and effect of bladder flap prostatic resection in elderly patients with benign prostatic hyperplasia. Methods The clinical data of 63 cases of benign prostatic hyperplasia (BPH) treated by suprapubic bladder bladder flap shaping prostatectomy were analyzed. Results In 63 cases, 55 cases (87.3%) were followed up for an average of 23 months with an average operation time of 60 minutes. The catheter was placed on average for 3 days and the average bladder was washed for 2 days. Of the 39 cases (61.9%), The average length of hospital stay was 9 days. Follow-up was performed in 55 cases (97.3%) for 8 to 36 months (mean 23 months). Complications occurred in 3 cases (4.8%) within 1 month after operation. , Of which 2 cases of urethral stenosis, 1 case of varying degrees of irritability and urinary bladder weakness were symptoms after conservative treatment disappeared within 5 weeks after 5 months of international prostate symptoms score (9.8 ± 4. 2) points, the quality of life index was ((1. 9 ± 0.3) minutes, the maximum uroflow rate was (18.5 ± 3.8 ml / s) and the residual urine volume was (49.1 ± (P <0.01) .Conclusion Prostatectomy with bladder flap is a safe, effective and less complication for the elderly patients with benign prostatic hyperplasia method.