经尿道前列腺电切术与双极等离子电切术治疗良性前列腺增生的临床比较

Clinical Comparison of Transurethral Resection of Prostate and Transurethral Plasmakinetic Prostatectomy in Treatment of Benign Prostatic Hyperplasia

目的探讨研究经尿道前列腺电切术与经尿道双极等离子电切术治疗良性前列腺增生的临床效果。方法随机选取2013年12月—2015年1月该院良性前列腺增生需行切除术的患者70例,随机分成两组,对照组采用经尿道前列腺电切术治疗,观察组采用经尿道双极等离子电切术治疗。观察对比两组患者手术时间和手术出血量和不良并发症。结果观察组的手术时间(59.34±8.73)min明显比对照组(83.27±11.34)min短,观察组的手术出血量(235.34±13.26)m L明显比比对照组(357.84±21.34)m L少(P<0.05),观察组的并发症的发生率为5.71%,对照组的不良并发症发生率为25.71%,观察组的不良反应发生率明显低于对照组(P<0.05)。结论经尿道双极等离子电切术治疗手术时间短,出血量少,不良并发症少,相对于电切术更加安全可靠。

Objective To observe the clinical effect of transurethral resection of prostate and transurethral plasmakinetic prostatectomy in treatment of benign prostatic hyperplasia. Methods 70 cases of patients with prostatic hyperplasia needing resections in our hospital from December 2013 to January 2015 were randomly selected and randomly divided into two groups, the control group were treated with transurethral resection of prostate, the observation group were treated with transurethral plasmakinetic prostatectomy, the operation time, the intraoperative blood loss and adverse complications of the two groups were observed. Results The operation time in the observation group was obviously shorter than that in the control group（59.34±8.73）min vs（83.27±11.34）min, the intraoperative blood loss in the observation group was obviously less than that in the control group（235.34±13.26）m L vs（357.84±21.34）m L,（P〈0.05）, the incidence of complications in the observation group was obviously lower than that in the control group（5.71% vs 25.71%）（P〈0.05）. Conclusion The transurethral plasmakinetic prostatectomy has a shorter operation time, less blood loss and few adverse complications, and it is more safe and reliable compared with the electrocision.