Vagner E A, Goriunov V G, Davidov M I
Khirurgiia (Mosk). 1998(8):40-4.
Immediate and long-term results of prostate adenomectomy were studied in 1549 patients, 322 of whom being of old age. In 1499 (96.8%) patients concomitant diseases were revealed: ischemic heart disease (934 patients), cardiosclerosis after 1-3 myocardial infarction (185), hemiparesis after acute cerebrovascular disturbances (74), diabetes mellitus (88), chronic lymphoid leukemia (5), cirrhosis of the liver (15), cancer (22) and true diverticula (15) of the urine bladder, drug-related polyallergy (16). 628 patients were radically operated in conditions of circulatory insufficiency of stage I-II. In 631 (40.7%) patients surgical intervention was carried out as urgent because of acute dysuria (hampering of urination) or to bleeding from tumor. Transvesical adenomectomy was carried out with hemostasis by 2 semipouch string removable sutures. In 89.5% of patients uncomplicated course of postoperative period was observed. Postoperative lethality in patients with concomitant diseases made up 3.2%. Causes of death were postinfarction cardiosclerosis (6.5%), after-effect of cerebrovascular stroke (5.4%), diabetes mellitus (5.7%), cirrhosis of the liver (6.7%). 6 months to 11 years after the operation 91.2% of the patients achieved good follow-up functional results of surgical treatment, in majority of the patients medical and social rehabilitation was observed.
对1549例前列腺腺瘤切除术患者的近期和远期结果进行了研究，其中322例为老年患者。在1499例（96.8%）患者中发现了合并疾病：缺血性心脏病（934例）、1 - 3次心肌梗死后的心硬化（185例）、急性脑血管疾病后偏瘫（74例）、糖尿病（88例）、慢性淋巴细胞白血病（5例）、肝硬化（15例）、癌症（22例）、膀胱真性憩室（15例）、药物相关性多过敏（16例）。628例患者在I - II期循环功能不全的情况下接受了根治性手术。在631例（40.7%）患者中，由于急性排尿困难（排尿受阻）或肿瘤出血而进行了紧急手术干预。经膀胱腺瘤切除术采用2根半袋式可拆除缝线进行止血。89.5%的患者术后病程无并发症。合并疾病患者的术后死亡率为3.2%。死亡原因包括心肌梗死后心硬化（6.5%）、脑血管中风后遗症（5.4%）、糖尿病（5.7%）、肝硬化（6.7%）。术后6个月至11年，91.2%的患者手术治疗取得了良好的随访功能结果，大多数患者实现了医疗和社会康复。
