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目的:观察对比经尿道等离子前列腺切除术(PKRP)和经尿道膀胱镜鞘推剥联合等离子切割剜除术(PKEP)治疗前列腺增生症(BPH)的效果。方法:选择BPH 118例,随机分为对照组和观察组各59例。对照组采用PKRP,观察组采用PKEP,观察比较两组疗效和安全性等。结果:观察组手术时间(75.0±14.9)min,对照组(78.0±14.3)min,两组比较,差异不显著(P>0.05);观察组出血量(169.5±17.3)ml,显著低于对照组的(219.0±21.5)ml(P<0.05)。两组术后1、3、6、12个月最大尿流率(Qmax)均非常显著高于术前(P<0.01),残余尿量(PVR)均非常显著低于术前(P<0.01)。观察组术后6、12个月Qmax值非常显著高于对照组(P<0.01),PVR值显著或非常显著低于对照组(P<0.05,P<0.01);其他时间节点两组比较,差异不显著(P>0.05)。结论:PKEP能减少术中出血量,解除排尿困难效果好。
OBJECTIVE: To observe the effect of transurethral plasmaphotonotectomy (PKRP) and transurethral cystoscopy for the treatment of benign prostatic hyperplasia (BPH). Methods: 118 cases of BPH were selected and randomly divided into control group and observation group of 59 cases each. Control group using PKRP, observation group using PKEP, observed and compared the efficacy and safety of the two groups. Results: The operation time in the observation group was (75.0 ± 14.9) min, and in the control group (78.0 ± 14.3) min, the difference was not significant (P> 0.05). The bleeding volume in the observation group was (169.5 ± 17.3) ml, Group (219.0 ± 21.5) ml (P <0.05). The maximal urinary flow rate (Qmax) at 1, 3, 6 and 12 months after operation were significantly higher than those before operation (P <0.01) and residual urine volume (PVR) ). The Qmax of the observation group at 6 and 12 months after operation was significantly higher than that of the control group (P <0.01), and the PVR value was significantly or very significantly lower than that of the control group (P <0.05, P <0.01) The difference was not significant (P> 0.05). Conclusion: PKEP can reduce intraoperative blood loss and relieve dysuria.