经尿道等离子电刀切割前列腺治疗良性前列腺增生的可行性评估.docVIP

精品论文 参考文献 经尿道等离子电刀切割前列腺治疗良性前列腺增生的可行性评估 湖南省永州市蓝山县中心医院外二科 425800 　　【摘 要】目的：探讨经尿道等离子电刀切割前列腺治疗良性前列腺增生的可行性。方法：选取我院2013年12月-2015年12月期间收治的良性前列腺增生患者120例为研究对象，按照治疗方法不同将其随机分为观察组和对照组，各60例，观察组患者给予经尿道等离子电刀切割前列腺手术治疗，对照组患者则采用经尿道前列腺电切术治疗。对比分析两组患者的治疗情况。结果：观察组患者手术时间、膀胱冲洗时间均明显短于对照组，术中出血量少于对照组，切除前列腺重量低于对照组，组间比较差异均有统计学意义（Plt;0.01）；观察组患者并发症发生率为6.7%；对照组为21.7%，组间比较差异有统计学意义（Plt;0.05）。结论：经尿道等离子电刀切割前列腺治疗良性前列腺增生，能明显减小患者包膜创伤，降低患者术中出血量和术后并发症发生率，并完整切除前列腺，是切实可行的有效治疗方式。 　　【关键词】经尿道等离子电刀切割前列腺；良性前列腺增生；临床疗效；可行性 　　[Abstract] objective：to study the transurethral plasma cutter for cutting the feasibility of the treatment of benign prostatic hyperplasia of prostate.Selection methods：our hospital in December 2013 - December 2013，admitted during the period of 120 patients with benign prostatic hyperplasia as the research object，according to the different treatments will be randomly divided into observation group and control group，60 cases，observation group patients give transurethral plasma knife cutting prostate surgery treatment，control group patients is adopted for the treatment of transurethral prostatic cutting.Comparative analysis of two groups of patients with treatment.Results：the observation group of patients with operation time，bladder douche time were significantly shorter than the control group，intraoperative blood loss less than the control group，resection of the prostate weight is lower than the control group，compare the differences between groups were statistically significant（P lt; 0.01）；Observation group of patients the incidence of complications was 6.7%；Control group was 21.7%，the comparison between groups was statistically significant difference（P lt; 0.05）.Conclusions：transurethral plasma cutting knife in the treatment of benign prostatic hyperplasia of prostate，can significantly reduce the capsular trauma patients，reduce the incidence of intraoperative blood loss and postoperative complications in patients with，and complete resection of the prostate gland，is practical and effective t