目的:比较等离子切除术与钬激光剜除术治疗良性前列腺增生的疗效及安全性。方法于2015年9月一2016年6月,随机选取该院收治的60例良性前列腺增生患者随机分为两组,钬激光组实施钬激光剜除术,电切组实施等离子切除术。比较两组患者的手术时间、术中出血量、膀胱冲洗时间、并发症发生率。结果钬激光组的手术时间较电切组明显更长(P<0.05),但钬激光组的术中出血量、膀胱冲洗时间分别为(53.45±26.43)mL、(25.89±14.53)h,均较电切组明显更少(P<0.05)。钬激光组的并发症发生率为10%,较电切组的33.33%明显更低(P<0.05)。结论经尿道前列腺钬激光剜除术治疗良性前列腺增生的疗效显著,且安全性高。%Objective To compare the efficacy and safety of the plasmakinetic resection and holmium laser enucleation of benign prostatic hyperplasia. Methods Random selection in September 2015-June 2016, 60 cases of benign prostatic hy-perplasia patients in our hospital were selected and divided into two groups, Holmium laser group received holmium laser enucleation, and electric cutting group received transurethral resection. The operation time, blood loss, bladder irrigation time, incidence of complications were compared between the two groups. Results The surgery time of Holmium laser group which compared with electric cutting group was significantly longer(P<0.05), but the intraoperative blood loss and bladder irrigation time were (53.45±26.43)mL,(25.89±14.53)h, and were significantly less than those of the electro resection group (P<0.05). The complication rate of the holmium laser group was 10%, was significantly lower than that the control group which was 33.33%(P<0.05). Conclusion The curative effect of holmium laser enucleation in the treatment of benign prostat-ic hyperplasia is significantly, and safety is high.
展开▼