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目的 探讨经尿道等离子双极电切术剜除术治疗高危巨大前列腺增生症的临床疗效.方法 65例高危巨大前列腺增生症患者,33例采用经尿道等离子双极电切术剜除术(观察组),32例采用经尿道等离子双极前列腺电切术(对照组).观察两组患者手术情况、性功能及尿道功能、并发症发生情况.结果 观察组患者术中血红蛋白、手术时间、膀胱冲洗时间及留置导尿管时间均少于对照组,且前列腺切除质量高于对照组(P<0.01).与治疗前比较,两组患者治疗后最大尿流率增大,残余尿量减少(P<0.05);观察组尿道功能优于对照组(P<0.05).与治疗前比较,两组患者治疗后国际前列腺症状评分(IPSS)下降,而逆行射精及勃起功能障碍发生率升高(P<0.05);与对照组比较,观察组治疗后IPSS、逆行射精及勃起功能障碍发生率降低(P<0.05).观察组并发症发生率低于对照组(12.12% vs.28.13%)(P<0.01).结论 应用经尿道等离子双极电切术剜除术治疗高危巨大前列腺增生症可改善患者尿道功能,对性功能影响小.“,”Objective To investigate the efficacy of transurethral plasmakinetic resection enucleation for high risk prostatic hyperplasia.Methods A total of 65 patients with high risk prostatic hyperplasia was divided into two groups.The patients in group A were treated with transurethral plasmakinetic resection enucleation and those in group B were treated with transurethral plasmakinetic resection of prostate.The operation situation,sexual function,urethral function and the incidence of complications were observed.Results The hemoglobin,operation time,bladder irrigation time and indwelling catheter time were less and the prostatectomy weight was more in group A than those in group B(P<0.01).The maximal urinary flow rate was higher and residual urine volume was lower after treatment than those before in both groups(P<0.05).The urethral function was better in group A than that in group B(P<0.05).The international prostate symptom score was lower and the incidence rate of retrograde ejaculation and erectile dysfunction was higher after treatment than those before in both groups,which were lower in group A than those in group B(P<0.05).The incidence rate of complications was lower in group A than that in group B(12.12% vs.28.13%)(P<0.01).Conclusion The transurethral plasmakinetic resection enucleation in the treatment of high risk prostatic hyperplasia can improve urethral function with little effect on sexual function.