Middleton A W
J Urol. 1977 Feb;117(2):202-5. doi: 10.1016/s0022-5347(17)58400-1.
Radical retropubic prostatectomy with bilateral pelvic lymphadenectomy for prostatic carcinoma was done with pubectomy in 8 patients and without pubectomy in 8 other patients. A comparison of the postoperative courses reveals an excess morbidity in patients who had pubectomy, with severe protracted pelvic girdle pain in 75 per cent, lower extremity thrombophlebitis in 37 per cent (one of which resulted in a non-fatal pulmonary embolus) and varying degrees of urinary incontinence persisting for 6 months or more in 75 per cent. In contrast, in patients who did not have a pubectomy mild transient pelvic girdle pain was noted in only 25 per cent of the cases, late lower extremity thrombophlebitis in 12 per cent and no late urinary incontinence. Pubectomy should not be used routinely with radical retropubic prostatectomy.
对前列腺癌患者行耻骨后根治性前列腺切除术及双侧盆腔淋巴结清扫术，其中8例患者同时行耻骨切除术，另外8例未行耻骨切除术。术后病程比较显示，行耻骨切除术的患者并发症更多，75%的患者有严重且持续时间长的骨盆带疼痛，37%的患者有下肢血栓性静脉炎（其中1例导致非致命性肺栓塞），75%的患者有不同程度的尿失禁且持续6个月或更长时间。相比之下，未行耻骨切除术的患者中，仅25%的病例有轻度短暂性骨盆带疼痛，12%的患者有晚期下肢血栓性静脉炎，且无晚期尿失禁。耻骨后根治性前列腺切除术不应常规使用耻骨切除术。
