Abstract: Objective　To investigate the changes in the effect of suprapubic transvesical prostatectomy in the treatment of benign prostatic hyperplasia （BPH） in the last 20 years.Methods　The clinical data of 216 BPH patients who received suprapubic transvesical prostatectomy in Beijing Anzhen Hospital Affiliated to Capital Medical University from January 1992 to January 2012 were analyzed retrospectively.According to the time of treatment,patients were divided into former 10-year group （n=100） and latter 10-year group（n=116）.The indicators,such as average hospital stay,hospitalization expense,operation time,intranperative hemorrhage and operative complications,were compared between two groups of patients.Results　Compared with cases in former 10-year group,the latter 10-year group had shorter operation time and hospital stay,more hospitalization expense,less intranperative hemorrhage and less operative complications（P<0.05）.Conclusion　With the improvement of medical care,the operative complications of suprapubic transvesical prostatectomy happen less and less,the surgery and hospital time are shorter and shorter,and quality of surgery is improving.All of these bring much benefit to patients.

Key words: Prostatic hyperplasia, Prostatectomy, Postoperative complications

摘要： 目的　分析近20年来耻骨上经膀胱前列腺切除术在治疗前列腺增生症（BPH）患者的临床应用效果变化。方法　回顾性分析1992年1月—2012年1月首都医科大学附属北京安贞医院收治的216例行耻骨上经膀胱前列腺切除术的BPH患者的临床资料，根据治疗时间分为前10年组（n=100）和后10年组（n=116），对比分析两组患者的平均住院时间、住院费用、手术时间、术中出血量和术中及术后并发症等指标的差异。结果　与前10年组比较，后10年组患者住院时间和手术时间缩短，住院费用增加，术中出血量减少，术中及术后并发症减少，差异均有统计学意义（P<0.05）。结论　随着医疗水平的不断提高，耻骨上经膀胱前列腺切除术并发症越来越少，手术及住院时间缩短，手术质量不断上升，患者更加受益。

关键词: 前列腺增生, 前列腺切除术, 手术后并发症