经尿道等离子双极电切治疗良性前列腺增生380例临床观察

Clinical observation of 380 cases with benign prostatic hyperplasia treated by transurethral plasmakinetic resection

目的:探讨经尿道等离子双极电切治疗良性前列腺增生的临床效果。方法:收治良性前列腺增生患者380例为观察组,采用经尿道等离子双极电切镜治疗,收治良性前列腺增生患者120例为对照组,采用耻骨上经膀胱前列腺切除术治疗。结果:两组患者治疗前后IPSS、RU、Q_(max)比较,差异有统计学意义(P<0.05),但是两组治疗后比较,差异有统计学意义(P<0.05),观察组在手术时间、术中出血量、下床活动时间、并发症发生率上明显低于对照组(P<0.05)。结论:经尿道等离子双极电切治疗良性前列腺增生手术时间短、出血少,患者恢复快,并发症少。

Objective:To explore the clinical effect of transurethral plasmakinetic resection(PKRP) in the treatment of benignprostatic hyperplasia.Methods:380 patients with benign prostatic hyperplasia were selected as the observation group,they weretreated by transurethral plasmakinetic resection,120 patients with benign prostatic hyperplasia were selected as the control group,they were treated with suprapubic transvesical prostatectomy.Results:IPSS,RU and Qmax before and after treatment of the twogroups were statistically significant(P<0.05),the two groups after treatment had statistical significance(P<0.05),the operationtime,intraoperative blood loss,off-bed activity time,the incidence of complications were significantly lower than that of the controlgroup(P<0.05).Conclusion:Transurethral plasmakinetic resection(PKRP) was used to treat benign prostatic hyperplasia,theoperation time was short,the bleeding was less,the patient recovery was fast,and the complication was less.