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[目的]比较经尿道2μm激光汽化切割术与双极等离子电切术(transuret hral plasmakinetic resection ofprostate,PKRP)治疗良性前列腺增生症的安全性及临床疗效。[方法]采用2μm激光汽化切割术与双极等离子电切术随机治疗良性前列腺增生症患者95例,对两组的安全性及临床疗效进行比较。[结果]2μm激光汽化切割术组平均手术时间(52.7±23.6)min,双极等离子电切组平均(42.5±18.4)min,后者少于前者(P﹤0.05);术中出血量,术后留置尿管时间、膀胱冲洗时间等前者均优于后者(P﹤0.05);两组患者手术后临床症状(IPSS评分、QOL评分及最大尿流率)均得到明显改善(P﹤0.05),但两组症状改善程度无明显差别(P﹥0.05)。[结论]经尿道2μm激光汽化切割术是一种非常安全的治疗良性前列腺增生症术式,其并发症少,能达到TURP相同的疗效。
[Objective] To compare the safety and clinical efficacy of transurethral 2 μm laser vaporization and transuret hral plasmakinetic resection of prostatitis (PKRP) in the treatment of benign prostatic hyperplasia (BPH). [Method] A total of 95 patients with benign prostatic hyperplasia (BPH) were randomly treated with 2μm laser vaporization and bipolar plasmakinectomy. The safety and clinical efficacy of the two groups were compared. [Results] The mean duration of operation was (52.7 ± 23.6) min in 2 μm laser vaporization and 42.5 ± 18.4 min in bipolar plasma tamponade, the latter was less than the former (P <0.05). The intraoperative blood loss, (P <0.05). The clinical symptoms (IPSS score, QOL score and maximum uroflow rate) of the two groups were significantly improved after operation (P <0.05) , But there was no significant difference between the two groups in symptom improvement (P> 0.05). [Conclusion] Percutaneous transurethral 2μm laser vaporization incision is a very safe surgical treatment of benign prostatic hyperplasia with less complications and the same curative effect as TURP.