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目的：对患前列腺增生症（ＢＰＨ）病人采用三种不同术式行前列腺激光切除术的结果对比分析。方法：１５８例有症状的ＢＰＨ病人，其中３７例用切割术式治疗，４０例用非接触式术式治疗，８１例用切割和非接触两种术式相结合术式治疗。所有病人评定术前、术后的ＩＰＳＳ评分、残余尿、最大尿流率及术后置管时间等参数。结果：所有手术病人术后均有明显改善。联合组的各项评定参数改善优于切割组和非接触组。结论：３种术式均有满意的临床结果，其中联合组改善的速度及疗效为最优，切割组与非接触组差异不大。
OBJECTIVE: To compare and analyze the results of prostatectomy using three different surgical procedures in patients with benign prostatic hyperplasia (BPH). Methods: Fifty-eight patients with symptomatic BPH were enrolled. Among them, 37 were treated by incision, 40 were treated by non-contact operation, and 81 were treated by incision and non-contact operation. All patients were assessed preoperative and postoperative PSPS score, residual urine, maximum flow rate and postoperative catheterization and other parameters. Results: All surgical patients had significant improvement after operation. The joint group improved the evaluation parameters better than the cutting group and the non-contact group. CONCLUSION: All three kinds of surgical procedures have satisfactory clinical results, of which the combined group is the best to improve the speed and efficacy, and there is no significant difference between the cutting group and the non-contact group.