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目的观察经尿道双极等离子电切术治疗良性前列腺增生的效果。方法 80例良性前列腺增生分别行尿道双极等离子电切术(A组,40例)与尿道前列腺电切术(B组,40例)治疗,比较2组手术情况、并发症发生率及前列腺症状评分(IPSS)、残余尿量(RU)、最大尿流率(Qmax)。结果 A组手术时间、导尿管留置时间、冲洗膀胱时间、住院时间短于B组,术中总出血量少于B组,差异均有统计学意义(P<0.05)。A组并发症发生率为15.0%低于B组的35.0%(P<0.05)。2组患者治疗前IPSS、RU、Qmax水平比较无明显差异(P>0.05),治疗后2组患者IPSS、RU、Qmax水平均优于治疗前(P<0.05),且A组患者术后IPSS、RU、Qmax水平优于B组(P<0.05)。结论对良性前列腺增生患者采取经尿道双极等离子电切术治疗效果显著。
Objective To observe the effect of transurethral bipolar plasmakinectomy on benign prostatic hyperplasia. Methods Eighty patients with benign prostatic hyperplasia underwent urethral bipolar plasmakinetic resection (group A, 40 cases) and urethral resection (group B, 40 cases). The operative conditions, the incidence of complications and the symptoms of prostate IPSS, RU, Qmax. Results The operation time, urinary catheter indwelling time, bladder irrigation time and hospital stay in group A were shorter than those in group B, and the total amount of blood loss during operation was less than that in group B (P <0.05). The complication rate in group A was 15.0% lower than that in group B 35.0% (P <0.05). There was no significant difference in the levels of IPSS, RU and Qmax between the two groups before treatment (P> 0.05). After treatment, the levels of IPSS, RU and Qmax in both groups were better than those before treatment (P <0.05) , RU, Qmax levels better than the B group (P <0.05). Conclusion The treatment of benign prostatic hyperplasia patients with transurethral bipolar plasma tangential resection has a significant effect.