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目的通过临床观察,探究经尿道等离子双极电切术治疗高龄高危前列腺增生(BPH)的安全性。方法选择2004年12月~2013年5月进入我院进行前列腺增生的高龄患者500例,使用经尿道等离子双极电切术对其治疗。结果经尿道等离子双极电切术的时间平均51min,手术进展顺利,患者的出血量相对小很多,未出现输血病例,手术结束患者全部能够通畅的排尿,3例患者出现暂时性尿失禁,未发现永久性尿失禁病例,同时电切综合征情况未出现,5例尿道狭窄,经过手术后患者的并发症没有加重的现象。结论经尿道前列腺等离子双极电切术在史料高龄高危BPH的过程中,不仅仅治疗效果显著,安全性也能够得到有效保障,值得临床大力推广使用。
Objective To investigate the safety of transurethral plasma-bipolar resection for the treatment of benign prostatic hyperplasia (BPH) in old age through clinical observation. Methods 500 elderly patients with benign prostatic hyperplasia admitted to our hospital from December 2004 to May 2013 were treated with transurethral plasma bipolar resection. Results The mean time of transurethral plasma bipolar resection was 51 minutes. The operation progressed smoothly. The patient’s bleeding volume was relatively much smaller. No blood transfusion was found. All the patients had complete urination at the end of surgery. Three patients had temporary urinary incontinence, Found permanent cases of urinary incontinence, and no case of cut-off syndrome, 5 cases of urethral stricture, after surgery, the patient’s complications did not aggravate the phenomenon. Conclusions Transurethral resection of prostate bipolar plasmapheresis is not only effective in the treatment of high-risk BPH, but also can effectively protect the safety of BPH. It deserves to be widely used clinically.