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经尿道'分叶式'剜除联合电切治疗前列腺增生应用观察

     

摘要

Objective :To investigate the effect of transurethral plasma kinetic "vane"enucleation combined electric resection in the treatment of prostatic hyperplasia .Methods :Using OLYMPUS plasma kinetic equipment , 50 cases of BPH patients received the treatment of "vane"enucleation combined with electric resection surgery .Re-sults :All the patients were first operated ,and there were no complications such as perforation of bladder and TUR syndrome in the operation .The patients'IPSS ,residual urine volume and Qmax were significantly improved after 3-12 months of follow-up ,without cases of permanent incontinence and recurrence of symptoms .Conclusion :Tran-surethral plasma kinetic enucleation of "vane" combined with transurethral resection of prostate for treatment of be-nign prostatic hyperplasia ,which is applicable to the overall beginner stage ,has the advantages of safe ,effective and easy to operate .%目的:探讨经尿道等离子"分叶式"剜除联合电切治疗前列腺增生的效果.方法:采用奥林巴斯等离子电切设备,对50例前列腺增生患者进行"分叶式"剜除联合电切手术治疗.结果:所有患者均为初次手术,术中无膀胱穿孔及电切综合征等并发症发生.术后患者IPSS、残余尿量和Qmax明显改善,随访3~12个月,无永久性尿失禁及症状复发病例.结论:经尿道等离子"分叶式"剜除联合电切术治疗前列腺增生,适用于前列腺增生整体剜除技术的初学阶段,具有安全 、有效及容易操作等优点.

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