【摘要】 目的 探讨Madigan前列腺增生摘除术的改进方法。 方法 31例前列腺增生者经改良的Madigan施行了腺体摘除术。探查并处理膀胱病变后，前列腺包膜逐一钳夹、切开、结扎，预留包膜对合线。在无血情况下游离腺体，剥离出尿道，切除前列腺腺体，将预留的包膜对合结扎，膀胱造瘘。 结果 所有患者均顺利完成手术，术中出血少。2例手术结束时发现活动性出血，立即拆除缝线探查，发现因前列腺太大，液囊滑入前列腺窝，引起出血。充液50ml，阴茎头牵引，出血停止。1例术后未行牵引，近期出血，立即牵引，出血停止。所有拔管后排尿正常，未见远期并发症。 结论 改良Madigan前列腺摘除术，出血少，包膜切口解剖对位好。与经典的Madigan前列腺增生腺体摘除术相比，省时。腺体在无出血的情况下切除，术后恢复更平稳、安全、可靠。

    关键词 前列腺增生 外科手术 Madigan前列腺摘除

    Improved Madigan prostatectomy(report of31cases)

    Zhu Xueyang，Zhong Kuangbiao，Zeng Qing，et al.

    Department of Urology，The Third Xiang-Ya Hospital，CentralSouth University，Changsha410013.

    【Abstract】 Objective To present and evaluate improvement of Madigan prostatectomy.Methods Resection of hyperplasia prostate had been preformed in31cases by using improved Madigan technique.Exposed and opend the blad-der，reproved or treated its diseases，and checked anatomy marks in bladder.Exposed retro pubic space，inserted a Foley catheter to bladder.Made a vertical incision on prostate capsule into the surface of adenoma，transverse incising and transfixing suture the capsule ......