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目的探讨两种手术方式治疗良性前列腺增生(BPH)的疗效。方法回顾性分析郑州市第二人民医院2010年4—2014年10月收治的良性前列腺增生患者247例临床资料,随机分组并通过手术时间、出血量、前列腺切除重量、术后住院天数,冲洗时间术、术后随访患者行IPSS评分、残余尿、最大尿流率测定评估膀胱颈梗阻改善程度等指标进行比较。结果所有247例患者均成功实施手术。通过比较两组间各项指标,具显著意义,有统计学差异性;术后随访患者行IPSS评分、残余尿、最大尿流率测定评估膀胱颈梗阻改善程度,具有显著意义,有统计学差异性。结论经尿道前列腺等离子剜除术与前列腺等离子切除术相比,前列腺剜除术在降低手术风险、减少腺体残留以及膀胱颈口梗阻改善等方面具有明显优势,但学习曲线长,需要在等离子电切术的基础上,需具有良好手术操作及解剖学基础上开展,对于初学者不利。
Objective To investigate the curative effect of two kinds of surgical methods on benign prostatic hyperplasia (BPH). Methods The clinical data of 247 cases of benign prostatic hyperplasia (BPH) treated in Zhengzhou Second People’s Hospital from April 2010 to October 2014 were retrospectively analyzed. The clinical data of patients with benign prostatic hyperplasia (BPH) were randomly divided into three groups according to the operation time, the amount of bleeding, the weight of prostatectomy, The patients were followed up for IPSS score, residual urine, maximum urinary flow rate to assess the degree of improvement of bladder neck obstruction and other indicators were compared. Results All 247 patients underwent successful surgery. By comparing the two groups of indicators, significant, statistically significant; postoperative follow-up patients underwent IPSS score, residual urine, maximum urinary flow rate assessment to assess the extent of improvement of bladder neck obstruction, with significant significance, there was a statistically significant difference Sex. Conclusions Transurethral resection of prostatectomy compared with prostate plasma resection, prostatectomy in reducing the risk of surgery to reduce the residual gland and bladder neck obstruction improved has obvious advantages, but the learning curve is long, the need for plasma electricity On the basis of excision, it is necessary to have a good operation and anatomy based on the unfavorable for beginners.