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目的:评价采用等离子电切镜行经尿道前列腺剜切术治疗良性前列腺增生症的疗效。方法:对2011年6月~2013年6月收治的230例良性前列腺增生症患者行经尿道前列腺剜切术。结果:手术时间25~100min;出血30~200ml;无膀胱穿孔及电切综合征等并发症;无一例尿失禁;术后延迟性前列腺窝出血2例,经膀胱血凝块冲出,插导尿管膀胱冲洗后治愈;术后阴茎根部尿道狭窄1例,经尿道扩张后仍难以维持,行sachse尿道内切开镜做尿道内切开术治愈;术后随访3个月,IPSS评分由平均25分降到7分。结论:经尿道前列腺剜切术治疗良性前列腺增生症是一种安全有效的手术方式,容易学习及上手,值得推广。
PURPOSE: To evaluate the efficacy of transurethral resection of the prostate in the treatment of benign prostatic hyperplasia (BPH) with plasma resectoscope. Methods: Transurethral resection of the prostate was performed in 230 patients with benign prostatic hyperplasia who were admitted to our hospital from June 2011 to June 2013. Results: The operation time was 25 ~ 100min, the bleeding was 30 ~ 200ml, no complications such as bladder perforation and resection syndrome, urinary incontinence, delayed postoperative prosthetic fossa hemorrhage in 2 cases, Urine bladder irrigation cured; postoperative penile root urethral stricture in 1 case, after the urethral dilatation is still difficult to maintain, sachse urethrotomy endoscopic urethrotomy to be cured; 3 months after follow-up, IPSS score by the average 25 points down to 7 points. Conclusion: Transurethral resection of the prostate for the treatment of benign prostatic hyperplasia is a safe and effective surgical approach, easy to learn and get started, it is worth promoting.