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目的探讨治疗良性前列腺增生(benign prostatic hyperp lasia,BPH)有效的手术方法。方法采用在腰麻下经尿道前列腺等离子电切术(PKRP)治疗良性前列腺增生160例。结果手术时间平均41 min,出血平均118 ml,输血1例,术后保留导尿平均3.8d,国际前列腺症状评分(IPSS)术前平均29.3分降至术后平均7.5分,术中术后出血并发症相对多见,但是出血量少,而且手术相对安全,手术疗效确切,术后患者均达到满意效果。结论经尿道前列腺等离子电切术(PKRP)是一种手术禁忌症相对少,手术时间相对短、创伤小、恢复快,疗效确切的创新的手术方法。
Objective To investigate the effective surgical treatment of benign prostatic hyperplasia (BPH). Methods Totally 160 cases of benign prostatic hyperplasia (BPH) were treated by transurethral resection of prostate (PKRP) under spinal anesthesia. Results The average operation time was 41 min, the mean bleeding volume was 118 ml, and the transfusion rate was 1. The mean duration of catheterization was 3.8 days. The average preoperative IPSS score was 29.3 points to an average of 7.5 points postoperatively. Postoperative intraoperative and postoperative bleeding Complications are relatively common, but less bleeding, and surgery is relatively safe, the exact effect of surgery, postoperative patients have reached satisfactory results. Conclusion Transurethral resection of prostate (PKRP) is an innovative surgical method with relatively few contraindications for surgery, relatively short operation time, small trauma, fast recovery and definite curative effect.