微创等离子前列腺电切术治疗高危良性前列腺增生的临床观察

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Abstract Objective To investigate the clinical effect of minimally invasive plasmakinetic prostatic resection treating high-risk benign prostatic hyperplasia.Methods A total of 74 patients with benign prostatic hyperplasia treated by surgery in our hospital from November 2015 to November 2017 were selected as the research objects,and they were divided into the control group (37 cases)and treatment group (37 cases)according to the random grouping method.The control group was treated with traditional transurethral resection of the prostate,while the treatment group was treated with minimally invasive plasmakinetic prostatic resection.The preoperative and postoperative urethral function,quality of life,psychological status,and total effective rate of surgical treatment,postoperative complications,satisfaction with surgical methods and achieving effect,operation time,urethral indwelling time,bladder irrigation time,postoperative hospital stay,bleeding volume during operation were compared in patients bieween the two groups.Results The indexes of urethral function,quality of life and mental state score in the two groups were higher than those before treatment,and the differences were statistically significant(P＜0.05).There was no significant difference of the above-mentioned indexes between the two groups before treatment(P＞0.05),and there were significant differences of the above-mentioned indexes between the two groups after treatment(P＜0.05).The total effective rate after surgery treatment in the treatment group was higher than that of the control group,and the total satisfaction degree of the treatment group was higher than that of the control group(P＜0.05).The incidence of postoperative complications was 2.7%(1/37)in the treatment group,which was lower than that of the control group (16.2%,6/37),and the difference was statistically significant(P＜0.05).The operation time,catheter retention time,bladder irrigation time and postoperative hospitalization time of the treatment group were shorter than those of the control group(P＜0.05),and the amount of bleeding during operation was less than that of the control group(P＜0.05).Conclusion Minimally invasive plasmakinetic prostatic resection treating high-risk benign prostatic hyperplasia can improve the urethral function in a short time,keep the patients in good psychological state and improve their quality of life,and it can shorten the operation time and postoperative recovery time,reduce the amount of bleeding during operation and the occurrence of related adverse reactions,and promote the treatment effect and satisfaction degree of patients simultaneously.

Key words： High-risk Benign Prostatic hyperplasia Minimally invasive Plasmakinetic prostatic resection Treatment Urethral function

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	Articles by authors
	CHENG Xian-rui
	WANG Yu-xiang
	CHEN Zi-hua
	ZHU Ke-he
	DONG Zhen-hua
	ZHANG Yong-jian

Cite this article:

CHENG Xian-rui,WANG Yu-xiang,CHEN Zi-hua, et al. Clinical observation of minimally invasive plasmakinetic prostatic resection treating high-risk benign prostatic hyperplasia[J]. 中国当代医药, 2018, 25(27): 20-23.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I27/20

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