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目的 :研究经尿道双极等离子电切术在良性前列腺增生患者中的临床疗效,为临床提供依据。方法 :选取2014年1月~2016年4月医院诊治的良性前列腺增生患者70例,根据治疗措施不同将患者分为对照组35例和观察组35例。对照组采用经尿道前列腺汽化电切术(TVP)治疗,观察组采用经尿道双极等离子电切术治疗,比较两组临床疗效。结果 :观察组手术时间、膀胱冲洗时间、术中出血量,显著少于对照组;观察组切除前列腺重量,显著多于对照组;观察组术后并发症发生率为8.6%,显著低于对照组的20.0%;观察组治疗后IPSS、RUV,显著低于对照组;观察组治疗后Qmax变化,显著高于对照组。结论 :良性前列腺增生患者采用经尿道双极等离子电切术治疗效果理想,值得推广应用。
Objective: To study the clinical efficacy of transurethral bipolar plasmakinectomy in patients with benign prostatic hyperplasia (BPH) and provide the basis for clinical practice. Methods: Seventy patients with benign prostatic hyperplasia (BPH) treated in our hospital from January 2014 to April 2016 were selected and divided into control group (35 cases) and observation group (35 cases) according to different treatment measures. The control group was treated with transurethral electrovaporization of the prostate (TVP). The observation group was treated with transurethral bipolar plasmakinetic excision. The clinical curative effect was compared between the two groups. Results: The operation time, bladder irrigation time and intraoperative blood loss in the observation group were significantly less than those in the control group. The weight of the prostate in the observation group was significantly more than that in the control group. The postoperative complication rate in the observation group was 8.6% Group, 20.0%; observation group after treatment IPSS, RUV, significantly lower than the control group; observation group Qmax after treatment was significantly higher than the control group. Conclusions: Transurethral bipolar plasmatography is an effective method for treatment of benign prostatic hyperplasia. It is worth popularizing and applying.