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目的 比较保留尿道、耻骨上、耻骨后3 种前列腺切除术的手术情况、术后常见并发症和随访结果。方法 回顾性分析216例前列腺切除术病人住院资料,按3 种术式统计输血量、手术时间、术后尿转清时间、术后置尿管时间和住院天数。对80例病人进行术后随访,平均随访29 个月,分析尿流率、I-PSS和QOL评分。结果 保留尿道前列腺切除术的各项指标均比其他两种手术低,特别在输血量、住院时间和术后常见并发症三方面有统计学差异,而I-PSS、QOL评分和尿流率无明显差异。结论 保留尿道前列腺切除术的近期疗效优于其他两种术式,远期疗效差异无显著性
Objective To compare the surgical conditions of the three kinds of prostatectomy, including the urethra, suprapubic and pubis, and the common postoperative complications and follow-up results. Methods A retrospective analysis of 216 cases of prostate cancer patients hospitalized data, according to three kinds of operation statistics of blood transfusion, operation time, postoperative urinary clearance time, postoperative catheterization and hospitalization days. Eighty patients were followed up for an average of 29 months. The urinary flow rate, I-PSS and QOL scores were analyzed. Results The indexes of retained prostatectomy were lower than the other two kinds of surgery, especially in the three aspects of blood transfusion, length of hospital stay and postoperative complications. However, I-PSS, QOL score and urinary flow rate Significant differences. Conclusions The short-term curative effect of preserving urethral resection is better than the other two kinds of operation, the long-term effect is no significant difference