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目的:探讨经尿道等离子体双极电切法治疗良性前列腺增生的临床疗效。方法:回顾性分析采用经尿道等离子体双极电切行前列腺切除73例。结果:切除前列腺组织重量45～115g,手术时间30～70分钟,术后4～5天拔除留置导尿管,术后患者6个月生活质量评分、最大尿流率、国际前列腺症状评分指标较术前明显改善,无尿失禁及电切综合征发生,暂时性尿失禁3例,无死亡病例。结论:经尿道前列腺等离子电切术因其较开放手术安全性高,疗效确切,已成为前列腺增生症手术治疗的有效方法。
Objective: To investigate the clinical efficacy of transurethral plasma bipolar electrotomy in the treatment of benign prostatic hyperplasia. Methods: A retrospective analysis of transurethral plasma bipolar resection of prostatectomy in 73 cases. Results: Prostate tissue weight 45 ~ 115g, operation time 30 ~ 70 minutes, removal of indwelling catheter 4 to 5 days after operation, postoperative 6 months quality of life score, maximum uroflow rate, international prostate symptom score index Preoperative significantly improved, no incontinence and cut-off syndrome occurred in 3 cases of temporary urinary incontinence, no deaths. Conclusion: Transurethral resection of prostate plasma is more effective than open surgery because of its high safety and efficacy. It has become an effective method for surgical treatment of benign prostatic hyperplasia.