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目的:针对等离子前列腺电切术治疗前列腺增生症状的实际临床效果,进行分析和探讨。方法:结合2010年5月到2012年8月间,我院接收治疗的前列腺增生患者100例,进行临床观察分析,来总结出治疗经验以及治疗效果。结果:本组治疗手术时间在69分钟左右,切下腺体组织在42.88g左右,手术中患者出血量在92.78ml左右。所有患者均为一次性手术治疗成功,主要并发症为早期出血5例,穿孔和尿外渗7例,远期出血4例,前尿道狭窄2例,没有出现大出血和死亡的情况。所有患者均进行了为其半年到1年的随访,随访结果为患者QOL降低为2.15分左右,RUV降低到34.58ml左右,IPSS降低到15.68分左右。结论:等离子前列腺电切术治疗前列腺增生病症,临床效果好,而且安全性高,值得在临床治疗上使用。
Objective: To analyze and discuss the actual clinical effect of plasma prostatectomy for benign prostatic hyperplasia. Methods: From May 2010 to August 2012, 100 cases of benign prostatic hyperplasia received treatment in our hospital, clinical observation and analysis, to sum up the treatment experience and treatment. Results: The operation time of this group was about 69 minutes, and the gland tissue was excised at about 42.88g. The amount of bleeding in the operation was 92.78ml. All patients were successful in one-off surgery. The main complications were early bleeding in 5 cases, perforation and extravasation in 7 cases, long-term bleeding in 4 cases and anterior urethral stricture in 2 cases. No major bleeding and death occurred. All patients were followed for a period of six months to one year. The follow-up results were a reduction of QOL of 2.15 points, reduction of RUV to 34.58ml and IPSS to 15.68 points. Conclusion: Plasma prostatectomy for the treatment of benign prostatic hyperplasia, clinical effect, and high safety, it is worth in clinical treatment.