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目的:讨论SP超脉冲等离子双极气化电切(PKSP)与等离子双极气化电切(PK)两种等离子电切方式治疗BPH的效果及安全性。方法:在我院经PK治疗的1 800余例BPH患者及PKSP治疗的60余例患者中,取条件相近的各60例患者,就手术时间、术中出血量、术后膀胱冲洗时间、留置导尿管时间、手术的安全性、术后并发症的发生及疗效等进行比较。结果:两组留置导尿管时间相似,手术时间PKSP较减少1/3以上,术中出血量、术后冲洗时间及术后并发症发生率PKSP低于PK(P<0.05),尤其继发出血明显减少,术后疗效两组无明显差异。结论:PKSP是一种更为理想的等离子双极气化电切,安全性更好,有较为理想的前景。
Objective: To discuss the effect and safety of two kinds of plasma tangential plasmaphotonectomy (SPP) by SP ultrapulse plasma bipolar vaporization (PKSP) and plasma bipolar vaporization (PK). Methods: In our hospital more than 1 800 cases of PKH treatment of PKH patients and PKSP treatment of more than 60 patients, with similar conditions in each of the 60 patients, the operation time, intraoperative blood loss, postoperative bladder irrigation time, stay Catheter time, the safety of surgery, the incidence of postoperative complications and efficacy were compared. Results: The catheterization time was similar between the two groups, and the PKSP in operation time was reduced by more than 1/3. The intraoperative blood loss, postoperative rinse time and postoperative complication rate PKSP were lower than PK (P <0.05) Bleeding was significantly reduced, postoperative efficacy no significant difference between the two groups. Conclusion: PKSP is a more ideal plasma bipolar gasification tangential cut, with better safety and better prospects.