[摘要] 目的：初步探讨经尿道保留“尿道嵴”前列腺剜除术对改善手术效果，减少术后并发症发生的临床意义。方法：选取8例良性前列腺增生患者采取该术式，选取10例良性前列腺增生患者作为对照组，采用本科贯例所行前列腺汽化电切术(TUVP)，在术后尿失禁、迟发大出血、TURP综合征的发生，组织切除量，手术及住院时间、排尿情况等方面进行临床观察比较。结果：采取该术式切除腺体量增加，相比对照组平均增加10～15 g。手术、住院时间缩短，相比对照组平均缩短15 min和3 d。术后排尿通畅，无尿失禁、大出血等并发症发生。结论：该术式有临床开展意义。

    [关键词] 前列腺增生；剜除术；保留“尿道嵴”；TURP综合征

    [中图分类号] R69 [文献标识码]A[文章编号]1674-4721(2011)07(a)-032-02

    Transurethral reservations "urethral crest" enucleation of the prostate

    YANG Dong

    Department of Urology, the People′s Hospital of Yuezhi County, Sichuan Province, Yuezhi 614500, China

    [Abstract] Objective:To evaluate the urethra to retain "urethral crest" enucleation of the prostate to improve surgical results and reduce the clinical significance of postoperative complications. Methods: 8 patients with benign prostatic hyperplasia patients to the procedure, and selected 10 patients with benign prostatic hyperplasia patients as the control group, patients are consistent with undergraduate transurethral of the prostate surgery(TUVP), postoperative incontinence, delayed bleeding, TURP syndrome occurs, the amount of tissue removed, surgical and hospital stay, voiding the clinical aspects observed and compared the situation. Results: The surgical removal of the gland to increase, compared to the control group, the average increase of 10 to 15 g. Surgery and hospitalization is shorten, compared with the control group average reduction of 15 min and 3 d. After urination, no incontinence, bleeding and other complications occurred. Conclusion: The procedure is carried out clinical significance. ......