Shi S F
First Affiliated Hospital, Zhejiang Medical University, Hangzhou.
Zhonghua Wai Ke Za Zhi. 1992 Sep;30(9):551-3, 572.
From Jan. 1976 to Dec. 1989, 829 patients with benign prostatic hyperplasia (BPH) were treated. Open prostatectomy was performed successfully in 571 patients. Secondary hemorrhage was observed in 21 patients (3.7%), bladder neck or posterior urethral stricture in 10 (1.7%), and temporary incontinence in 21 (3.7%). No operative mortality was noted. The pathogenesis, management and prevention of those complications were detailed with review of the literatures. Effective hemostasis, proper enucleation of the enlarged gland and meticulous reconstruction of the bladder neck are claimed to be the key points in reducing complications and increasing cure rate in the treatment of BPH with open prostatectomy.
1976年1月至1989年12月，对829例良性前列腺增生（BPH）患者进行了治疗。571例患者成功实施了开放性前列腺切除术。观察到21例（3.7%）发生继发性出血，10例（1.7%）出现膀胱颈或后尿道狭窄，21例（3.7%）出现暂时性尿失禁。未观察到手术死亡病例。结合文献复习，详细阐述了这些并发症的发病机制、处理方法及预防措施。有效止血、正确摘除增生腺体以及精心重建膀胱颈被认为是在开放性前列腺切除术治疗BPH时减少并发症并提高治愈率的关键要点。
