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目的比较前列腺增生经尿道前列腺等离子剜除术(TPKEP)与经尿道前列腺等离子剜除术(TPKEP)的治疗效果。方法选取2013年7月至2014年8月良性前列腺增生男性患者94例,依据手术方法分为离子组和电切术组,每组47例。电切术组给予经尿道前列腺电切术(TURP)治疗,等离子组行经尿道前列腺等离子剜除术(TPKEP)治疗,比较两组疗效。结果等离子组术中出血量、血红蛋白、膀胱冲洗时间、尿管留置时间及住院时间明显优于电切术组,差异有统计学意义(P<0.05)。等离子组并发症发生率(6.3%)低于电切术组(21.3%),差异有统计学意义(P<0.05)。结论 TPKEP治疗良性前列腺增生可减少患者术中出血量,缩短膀胱冲洗与尿管留置时间,降低患者并发症发生率,有利于患者身体康复,值得临床推广应用。
Objective To compare the efficacy of transurethral resection of prostate (TPKEP) with transurethral resection of prostate (TPKEP). Methods From July 2013 to August 2014, 94 male patients with benign prostatic hyperplasia (BPH) were enrolled. According to the surgical methods, they were divided into ion group and resection group, 47 cases in each group. Transurethral resection of the prostate (TURP) was performed in the resection group and TPKEP treatment in the plasma group. The curative effect was compared between the two groups. Results The plasma volume of hemorrhage, hemoglobin, bladder irrigation time, catheter indwelling time and hospital stay in plasma group were significantly better than that in the resection group, the difference was statistically significant (P <0.05). Plasma complication rate (6.3%) was lower than that of electrosurgical group (21.3%), the difference was statistically significant (P <0.05). Conclusion TPKEP treatment of benign prostatic hyperplasia can reduce the amount of intraoperative bleeding, shorten the bladder irrigation and catheter indwelling time, reduce the incidence of complications in patients with physical rehabilitation is worthy of clinical promotion and application.