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目的:对比分析前列腺等离子电切术和前列腺汽化电切术用于前列腺增生症的临床效果。方法:随机选取本院2013年内1月至2016年内2月间收治入院的前列腺增生症患者54例,随机从0-53编号,其中1-26号为对照组,27-53号为观察组,对照组实施前列腺汽化电切术,观察组实施前列腺等离子电切术。术后比较两组患者手术时间、住院时间、手术造成出血量以及术后并发症情况,并对比观察患者术后IPSS评分以及生活质量情况。结果:所有患者均成功完成手术,未见1例转为开放手术。同时两组患者手术时间、住院时间、术后6个月IPSS评分以及生活质量指标比较差异无显著性(P>0.05)。而观察组术中出血量较对照组少,并发症也较对照组少,且术后3个月IPSS评分较对照组优,组间差异存在显著性(P<0.05)。结论:前列腺等离子电切术和前列腺汽化电切术用于前列腺增生症的治疗均具有较好的临床效果,但相较而言,前列腺等离子电切术出血量较少,且安全性相对较高,值得参考。
OBJECTIVE: To compare the clinical effects of prostatectomy and transurethral resection of prostate for benign prostatic hyperplasia. Methods: A total of 54 patients with benign prostatic hyperplasia admitted to our hospital from January 2013 to February 2016 were selected randomly from 0-53, including 1-26 as the control group and 27-53 as the observation group. Control group, the implementation of prostate electrovaporization, observation group implementation of prostate plasma resection. After operation, the operation time, hospitalization time, blood loss caused by operation and postoperative complications were compared between the two groups. The postoperative IPSS score and quality of life of the patients were compared. Results: All the patients successfully completed the operation, but none of the patients turned to open surgery. At the same time, there was no significant difference in the operation time, hospital stay, IPSS score and quality of life between the two groups at 6 months after operation (P> 0.05). The intraoperative blood loss in the observation group was lower than that in the control group, and the complication was also less than that in the control group. The IPSS score at 3 months after operation was superior to that in the control group. There was significant difference between the two groups (P <0.05). Conclusions: Prostate plasma electrosurgical excision and prostate electrosurgical resection for the treatment of benign prostatic hyperplasia have good clinical effects, but in comparison, prostatectomy is less bleeding and the safety is relatively high , It is worth consulting.