Muranaka K, Takeda A, Okano M, Matsuda S, Sakai S, Kanematsu M, Kawada Y, Nishiura T
Hinyokika Kiyo. 1985 Jun;31(6):969-77.
Results of operation were analyzed statistically in 123 patients who underwent suprapubic prostatectomy for benign prostatic hypertrophy from 1974 through 1981. Age of the patients ranged from 48 to 89 years and the mean age was 70.1 years. The average amount of blood loss during operation was 590 ml. Amount of blood loss in patients operated under epidural anesthesia was less than that in the patients operated under general anesthesia. Furthermore, significant correlation was observed between amount of blood loss and the weights of enucleated prostate glands. The average weight of enucleated prostate glands was 33.4 g and the weight increased as the patient's age increased. Histological examination of the enucleated specimens revealed occult carcinoma in 4.1% of the patients. Association of bladder neck sclerosis was observed in 27% of the patients whose prostate weighed less than 20 g. Significance of prophylactic vasectomy for the prevention of postoperative epididymitis was considered to be low. Incidence of postoperative bacteriuria was higher in patients who had bacteriuria preoperatively than those without preoperative bacteriuria. Therefore, eradication of preoperative bacteriuria seemed important in the prevention of postoperative bacteriuria. No significant correlation was observed between postoperative residual urine volume and the weight of the enucleated prostate glands.
对1974年至1981年间因良性前列腺增生接受耻骨上前列腺切除术的123例患者的手术结果进行了统计分析。患者年龄在48岁至89岁之间，平均年龄为70.1岁。手术期间平均失血量为590毫升。硬膜外麻醉下手术患者的失血量少于全身麻醉下手术的患者。此外，失血量与摘除前列腺的重量之间存在显著相关性。摘除前列腺的平均重量为33.4克，且随着患者年龄的增加而增加。对摘除标本的组织学检查显示，4.1%的患者存在隐匿性癌。在前列腺重量小于20克的患者中，27%观察到膀胱颈硬化。预防性输精管切除术对预防术后附睾炎的意义被认为较低。术前有菌尿的患者术后菌尿发生率高于术前无菌尿的患者。因此，根除术前菌尿似乎对预防术后菌尿很重要。术后残余尿量与摘除前列腺的重量之间未观察到显著相关性。
