不同手术方式治疗高危重度前列腺增生症108例临床观察

目的探讨高危重度前列腺增生患者的手术方式及疗效。方法将108例高危重度前列腺增生患者随机分为观察组和对照组各54例，观察组采用经尿道前列腺等离子双极电切术（TKRP）治疗，对照组采用普通经尿道前列腺电切术治疗，比较两组的临床疗效及不良反应。结果两组患者手术均获得成功。观察组的手术时间、术中出血量及术后并发症均少于对照组，所切除腺体重量高于对照组，两组比较差异有统计学意义（P〈0．05）；两组患者术后的Qmax、RUV、IPSS、QOL指标均有明显改善，与治疗前比较差异有统计学意义（P〈0．05），但组间比较差异无统计学意义（P〉0．05）。结论TKRP术具有切除手术时间短、术中出血少、术后并发症少的优点，是高危重度前列腺增生患者的首选治疗方法。

Clinical observation of different surgical procedures in the treatment of high risk patients with large volume benign prostatic hyperplasia in 108 cases

Objective To explore the methods and efficacy of high risk patients with large volume benign prostatic hyper plasia surgery.Methods One hundred and eight cases of high risk patients with large volume benign prostatic hyperplasia were randomly divided into observation group and control group,each of 54 cases,the observation group was treated by the prostatic urethra and plasma bipolar electrosurgical excision procedure(TKRP) treatment while the control group received or dinary transurethral resection,the clinical efficacy and adverse reactions were compared.Results Operation of two groups were successful.The operative time,intraoperative blood loss and postoperative complications of observation group were less than those of the control group,the removal of the gland weight of observation group was higher than that in the con trol group,there were significant differences(P < 0.05);Qmax and RUV,IPSS and QOL indicators in both two groups were improved significantly compared with those before treatment,there was significant difference(P < 0.05),but there was no significant difference between the two groups(P > 0.05).Conclusion TKRP is a surgery with short surgery time,less bleeding and fewer complications,is the preferred treatment in high risk patients with large volume benign prostatic hyperplasia.