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目的比较经尿道前列腺电切术(TURP)与经尿道前列腺等离子双极电切术(PKRP)治疗老年良性前列腺增生的临床效果及安全性。方法 60例老年良性前列腺增生患者,依据治疗方法的不同分为观察组和对照组,每组30例。观察组患者采用PKRP治疗,对照组患者采用TURP治疗。比较两组患者的治疗效果及并发症情况。结果观察组患者的手术时间、术中出血量、留置尿管时间及住院时间均优于对照组,差异均具有统计学意义(P<0.05);两组患者的膀胱冲洗时间比较,差异无统计学意义(P>0.05)。观察组患者的并发症发生率(13.3%)低于对照组(43.3%),差异具有统计学意义(χ~2=6.648,P<0.05)。结论与TURP治疗相比,PKRP治疗老年良性前列腺增生的临床效果更加理想,且并发症较少,值得临床推广和应用。
Objective To compare the clinical efficacy and safety of transurethral resection of the prostate (TURP) and transurethral prostate bipolar (PKRP) in the treatment of benign prostatic hyperplasia (BPH) in the elderly. Methods Sixty elder patients with benign prostatic hyperplasia (BPH) were divided into observation group and control group according to the different treatment methods, with 30 cases in each group. Patients in the observation group were treated with PKRP and patients in the control group were treated with TURP. The therapeutic effects and complications of the two groups were compared. Results The operation time, intraoperative blood loss, catheterization time and hospital stay in the observation group were better than those in the control group (P <0.05). There was no statistical difference in the bladder irrigation time between the two groups Significance (P> 0.05). The incidence of complication in the observation group was lower than that in the control group (13.3%) (43.3%), the difference was statistically significant (χ ~ 2 = 6.648, P <0.05). Conclusions Compared with TURP treatment, PKRP is more effective in treating benign prostatic hyperplasia in elderly patients with less complications and is worthy of clinical promotion and application.