高危良性前列腺增生的术式探讨

目的探讨经尿道前列腺剜除术与经尿道双极等离子前列腺电切术治疗高危良性前列腺增生的临床疗效。方法选取高危良性前列腺增生患者86例,随机分为实验组和对照组,两组患者分别应用经尿道前列腺剜除术、经尿道双极等离子前列腺电切术治疗,对比两组患者的手术效果。结果两组患者的临床疗效及不良反应均无明显差异(P>0.05),但实验组患者的手术时间、膀胱冲洗时间及住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.01)。结论经尿道前列腺剜除术与经尿道双极等离子前列腺电切术治疗高危良性前列腺增生均安全有效,但经尿道前列腺剜除术的手术时间、膀胱冲洗时间及住院时间更短,术中出血量更少。

Study on the Surgical Treatment of High Risk Benign Prostatic Hyperplasia

Objective Transurethral enucleation of prostate and transurethral bipolar plasmakinetic resection of prostate in treatment of benign prostatic hyperplasia clinical curative effect.Methods We selected 86 cases of high-risk benign prostatic hyperplasia patients were randomly divided into experimental group and control group, respectively, using transurethral enucleation of the prostate, transurethral bipolar plasmakinetic resection of prostate in two patients, the operation effect of the two groups were compared.Results There were no significant differences in clinical efficacy and adverse reactions of the two groups of patients (P>0.05), but the operation time, bladder irrigation time patients and hospitalization time were shorter than the control group, intraoperative bleeding was less than the control group, the difference was statistically significant (P<0.01).Conclusion Transurethral enucleation of prostate and transurethral bipolar plasmakinetic resection of prostate for treatment of benign prostatic hyperplasia were safe and effective, but the operation time, bladder irrigation time transurethral enucleation of the prostate and a shorter hospital stay, less intraoperative bleeding.