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目的 观察 Ｍａｄｉｇａｎ 术（ 保留尿道前列腺切除术） 的临床效果。方法 对１００ 例该手术的患者临床资料回顾性分析，随访４２ 例，以耻骨上和耻骨后前列腺切除术作对照组。结果 Ｍａｄｉｇａｎ 术组输血量、术后尿转清时间、术后置尿管时间和住院天数均低于对照组。尿道狭窄、尿失禁、术后出血再手术发生率也低于对照组。随访 Ｍａｄｉｇａｎ 术组４２ 例及对照组３８ 例，平均随访２９ 个月，其 Ｉ Ｐ Ｓ Ｓ、 Ｑ Ｏ Ｌ评分、尿流率比术前有明显改善，但两组之间差异无显著意义。结论 Ｍａｄｉｇａｎ术的近期疗效较其他２ 种术式效果好，远期疗效无显著差异。
Objective To observe the clinical effect of Madigan surgery (preserving urethroplasty). Methods The clinical data of 100 cases of this operation were retrospectively analyzed. 42 cases were followed up and the suprapubic and the retropubic prostatectomy was used as the control group. Results The amount of transfusion, postoperative urinary clearance time, postoperative catheterization and hospitalization days in Madigan group were all lower than those in control group. Urethral stricture, urinary incontinence, postoperative reoperation incidence of bleeding is also lower than the control group. Forty-two patients in the Madigan group and 38 in the control group were followed up for an average of 29 months. The ISPS, QOL score and urinary flow rate in the Madigan group were significantly improved than those in the preoperative group, but there was no significant difference between the two groups. Conclusions The short-term effect of Madigan’s surgery is better than the other two kinds of surgical procedures, but there is no significant difference in long-term efficacy.