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目的对复发性前列腺增生行经尿道逆行腔内剜除双极等离子体电切术的方法及其临床效果进行分析和探讨。方法对90例在本院进行经尿道前列腺电切术(TURP)治疗的复发性前列腺增生患者行经尿道逆行腔内剜除双极等离子体电切治疗,手术结束6个月后,对患者手术前以及手术后的生活质量(QOL)、前列腺特异抗原(PSA)、最大尿流率(Qmax)、残余尿量(PVR)以及国际前列腺症状评分(IPSS)进行评价和比较。结果 90例患者均顺利完成手术,术后暂时性尿失禁患者3例,6个月后均恢复正常;术后6个月患者的QOL、Qmax和IPSS均有明显升高,PSA和PVR均有明显下降,与术前相比差异具有统计学意义(P<0.05)。结论经尿道逆行腔内剜除双极等离子体电切术应用于复发性前列腺增生的治疗中是一种可行性方法 ,具有较好的疗效,建议在临床上推广应用。
Objective To analyze and discuss the methods and clinical effects of transurethral resection of bipolar plasma in patients with recurrent prostatic hyperplasia (BPH). Methods Totally 90 patients with recurrent prostatic hyperplasia (TURP) who underwent transurethral resection of the prostate (TURP) underwent transurethral retrograde transurethral resection of bipolar plasma tangential excision. Six months after the end of surgery, And quality of life (QOL), PSA, Qmax, residual PVR, and IPSS were evaluated and compared. Results All the 90 patients completed the operation successfully. Three patients with transient urinary incontinence returned to normal after 6 months. QOL, Qmax and IPSS were significantly increased in all patients at 6 months after operation. Both PSA and PVR Significantly decreased compared with the preoperative difference was statistically significant (P <0.05). Conclusion Retrograde transurethral resection of bipolar plasma in the treatment of recurrent BPH is a feasible method and has good curative effect. It is suggested that it should be popularized and applied clinically.