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目的:探讨经等离子电切术医诊前列腺增生的效用。方法:随机将131例患前列腺增生人员分组:等离子电切术组(65例)与药物保守治疗组(66例),药物保守治疗组经哈乐、保列治等药物保守治疗,电切术组经PKRP(即:等离子电切术)诊治。结果:电切术组的疗效比药物保守治疗组明显要好,P<0.05。电切术组的住院时间和药物保守治疗组相当,P>0.05。比较电切术组与药物保守治疗组组的IPSS以及RUV、Qmax情况,电切术组和对照电切术组改善程度相当,P>0.05。电切术组的逆行射精、阳痿发生率与对照电切术组相当,P>0.05。电切术组患并发症几率比药物保守治疗组组低,P<0.05。结论:经等离子电切术医诊前列腺增生的效用明显,并发症及出血量少,且可缩短导管留置时间,手术安全,值得推广应用。
Objective: To explore the utility of plasma tamponade in the diagnosis of benign prostatic hyperplasia. Methods: A total of 131 patients with benign prostatic hyperplasia were randomly divided into two groups: plasma electrosurgical group (65 cases) and drug conservative treatment group (66 cases). Conservative conservative treatment group Group by PKRP (ie: plasma resection) diagnosis and treatment. Results: The efficacy of the resection group was significantly better than that of conservative treatment group (P <0.05). The hospitalization time of the resection group was similar to that of conservative treatment group (P> 0.05). Compared with IPSS and RUV and Qmax in the group of conservative surgery and the conservative treatment group, the improvement was similar in the resection group and control group (P> 0.05). The rate of retrograde ejaculation and impotence in the resection group was similar to that in the control group (P> 0.05). The incidence of complications in the resection group was lower than that in the conservative treatment group (P <0.05). Conclusion: The utility of plasma biopsy for benign prostatic hyperplasia is obvious, with less complications and less bleeding. It can shorten the catheter indwelling time and be safe in operation. It is worth popularizing and applying.