改良Pfannenstiel切口与下腹部直切口在前列腺术中的临床比较分析

目的 探讨改良Pfannenstiel切口与下腹部直切口对前列腺摘除术的安全性及术后切口愈合的优缺点方法随机对82例前列腺肥大患者采用改良Pfannenstiel切口行耻骨上经膀胱前列腺摘除术,和60例前列腺肥大患者采用下腹部直切口行耻骨上经膀胱前列腺摘除术,术后对切口的愈合情况及其并发症进行回顾性对照性研究和远期疗效...

Clinical compare analysis on Modified Pfannenstiel incision with lower abdominal straight incision for suprapubic prostatectomy

Objectives To evaluate the efficacy heal of incision and investigate safety of Modified Pfannenstiel incision with lower abdominal straight approach for suprapubic prostatectomy. Methods 82 patients with BPH underwent the treatments of Modified Pfannenstiel incision in suprapubic prostatectomy ,60 patients with BPH underwent the treatments of lower abdominal straight incision in suprapubic prostatectomy , and the operative. Results Were assessed using following parameters: efficacy heal of incision,operative complications ,and therapeutic observation at a specified future date. Results: 60 patients with BPH underwent the treatments of lower abdominal straight incision for suprapubic prostatectomy. In this group,9 were infect of incison, 5 split open of incison, 3 accumulated hood of incison, 2 extravasated blood of subcutaneous tissue, 4 Incisional hernia . The usage of Modified Pfannenstiel incision in suprapubic prostatectomy were not infect of incison and hernia of incison, only 1 extravasated blood of subcutaneous tissue. It has not infect of incison and hernia of incison. Conclusions The usage of Modified Pfannenstiel incision in suprapubic prostatectomy , It has many advantages such as minimal injury , few infection of incison rat ,little of incison and exquisitely , less complications, short operative time, little blood loss and rapid recoverment, less heal of incision rat,minimal tension of incison ,bodily from of patient the second days in the operative , less complications respiratory tract, excellent exposure, minimal tension of incison, you neednt take other incision as for patient complication incorporation hernia. The usage of Modified Pfannenstiel incision is an excellent treatment for BPH . It was provides both excellent exposure and better cosmetic results compare with lower abdominal straight approach for suprapubic prostatectomy. It was worth application and dissemination in the clinical.