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目的:探讨经尿道双极等离子射精管切开术(PKRED)和单极射精管切开术(TURED)治疗射精管梗阻(EDO)的各自疗效,比较其优劣。方法:2004年10月~2012年6月期间应用PKRED治疗EDO患者42例(PKRED组),应用TURED治疗EDO患者38例(TURED组),对其平均手术时间、平均住院时间、精子产生率、配偶怀孕率和术后并发症等参数进行比较。结果:PKRED组和TURED组的平均手术时间和住院时间分别为26min、8.4d和34min、9.8d。PKRED组和TURED组的精子产生率和怀孕率分别为60.5%(23/38)、31%(13/42)和57.1%(20/35)、28.9%(11/38)。与TURED组比较,PKRED术后并发症更少(P<0.05)。结论:PKRED比TURED治疗EDO更具有效性和安全性。
Objective: To investigate the curative effect of transurethral bipolar plasma etaneromy (PKRED) and unilateral ejaculation (TURED) on ejaculatory duct obstruction (EDO), and to compare their advantages and disadvantages. Methods: From October 2004 to June 2012, 42 patients with EDO (PKRED group) were treated with PKRED and 38 patients with EDO were treated with TURED (TURED group). The mean operation time, average length of hospital stay, sperm production rate, Spouse pregnancy rate and postoperative complications and other parameters were compared. Results: The average operation time and hospital stay of PKRED group and TURED group were 26min, 8.4d and 34min respectively, 9.8d. The sperm production rate and pregnancy rate in PKRED group and TURED group were 60.5% (23/38), 31% (13/42), 57.1% (20/35) and 28.9% (11/38), respectively. Compared with TURED group, PKRED postoperative complications were less (P <0.05). Conclusion: PKRED is more effective and safe than TURED in the treatment of EDO.