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目的分析不同手术方法治疗良性前列腺增生合并膀胱结石的临床效果。方法选取郏县人民医院2013年2月—2014年2月收治的良性前列腺增生合并膀胱结石患者118例,平均分为对照组和研究组,每组59例。对照组给予经尿道前列腺电切术治疗,研究组给予经尿道等离子双极电切术治疗。比较两组患者手术时间、出血量、导管留置时间、住院时间及术后并发症发生情况。结果研究组患者手术时间、导管留置时间和住院时间短于对照组,出血量少于对照组,差异有统计学意义(P<0.05)。研究组患者术后感染、血尿、痔疮、尿潴留发生率均低于对照组,差异有统计学意义(P<0.05)。结论经尿道等离子双极电切术治疗良性前列腺增生合并膀胱结石的效果显著,且安全性较高。
Objective To analyze the clinical effects of different surgical methods in the treatment of benign prostatic hyperplasia with bladder stones. Methods 118 cases of benign prostatic hyperplasia with bladder stones admitted in Shexian People’s Hospital from February 2013 to February 2014 were selected and divided into control group and study group with 59 cases in each group. The control group was given transurethral resection of the prostate and the study group was treated with transurethral plasma-bipolar resection. The operation time, blood loss, catheter indwelling time, hospitalization time and postoperative complications were compared between the two groups. Results The operation time, catheter indwelling time and hospitalization time in the study group were shorter than those in the control group, and the amount of bleeding was less than that in the control group. The difference was statistically significant (P <0.05). The incidence of postoperative infection, hematuria, hemorrhoids and urinary retention were lower in the study group than in the control group, with significant difference (P <0.05). Conclusion The transurethral plasma bipolar resection of benign prostatic hyperplasia with bladder stones is significant and safe.