等离子体双极电切术治疗高龄良性前列腺增生症的临床观察

Bipolar plasmakinetic resection of prostate of elderly patients with benign prostatic hyperplasia to observe the clinical efficacy

目的:探讨经尿道双极等离子电切术治疗高龄良性前列腺增生症的临床效果和安全性。方法:将100例高龄良性前列腺增生症患者随机分为观察组和对照组各50例,观察组采用经尿道双极等离子电切术治疗,对照组采用经尿道前列腺电切术。比较两种术式的临床效果。结果:观察组患者失血量少于对照组(P<0.05),术后3h血钠浓度下降幅度低于对照组(P<0.05),但是两组患者的手术时间、国际前列腺症状评分和尿流率的改善情况比较差异无显著性(P>0.05)。结论:经尿道双极等离子前列腺电切术治疗高龄良性前列腺增生症效果良好,出血更少,无经尿道电切综合征发生,手术安全,适宜于高危患者,值得临床推广应用。

Objective ：To explore the clinical efficacy and safety of bipolar plasmakinetic resection of prostate treatment on elderly patients with benign prostatic hyperplesia. Methods ：100 elderly patients with benign prostatic hyperplasia were divided randomly into the investigation group （50 cases） and the control group （50 cases）. The former took the bipolar plasmakinetic resection of prostate,the latter took the transurethral resection of prostate. Compared and observed the clinical efficacy of the two groups. Results：The patient＇s blood loss in the investigation group was less than the control group, decrease in serum sodium concentration three hours after in the investigation group was higher than the control group;No significant differences between the two groups were noted in terms of the operation duration, postoperative IPSS and the urinary flow rate. Conclusion ： Bipolar plasmakinetic resection of prostate of elderly patients with benign prostatic hyperplasia is effective, with less bleeding no transurethral resection syndrome,surgical safety,especially for the elderly patients,and hence is worthy of being recommended in clinical practice.