Objective: To observe safety and efficacy of suprapubic transvesical prostatectomy without partition of prostatic fossa. Methods :70 patients were treated by suprapubic transvesical prostatectomy without partition of prostatic fossa from Aug. 1999 to Dec. 2002. Results: Average operation time was (55 ± 35) min , the prostate adenoma removed was (65 ± 35)g. An indwelling catheter was required for ( 5.5 ± 2.5) days. Neither incontinence nor bladder outlet obstruction has been noted. IPSS decreased from preoperative (28.5 ± 2.5 ) to postoperative (6.5 ±2.0), QOL decreased from preoperative (5.6 ± 0.6) to ( 1.0 ± 0.4), Qmax increased from preoperative (6.8 ± 1.5 ) ml/s to postoperative (21.5 ± 6.5 ) ml/s. RU decreased from preoperative ( 120 ± 80) to postoperative ( 10 ± 8 )ml, AFR increased from (3.5 ± 1.0) ml/s to (10.0 ± 2.0) ml/s. All these differences were markable significant(P ＜ 0.01). Conclusions: Open prostatectomy is excellent curative effect in clinical.%目的观察不隔离腺窝的耻骨上经膀胱前列腺切除术的安全性和效果.方法采有用不隔离腺窝的方法治疗前列腺增生症70例.结果剜出的腺瘤(65±35)g,保留导尿管时间(5.5±2.5)d,膀胱造瘘时间(9.2±3.3)d.术后排尿正常,无尿失禁.IPSS评分由术前(28.5±2.5)分减至术后(6.5±2.2)分,QOL评分由要术前的(5.6±0.6)分减至(1,0±0.4)分,Qmax术前(6.8±1.5)ml/s升到术后的(21.5±6.5)ml/s,Ru从术前的(120±80)md减少至(10±8)ml.AFR(3.5±1.0)ml/s升至(10.0±2.0)ml/s,手术前后5项指标差别有显著意义(均P＞0.01).结论进一步证实开放前列腺切除术具有最好的临床疗效.
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