比较经尿道钬激光膀胱肿瘤切除术（HOLRBT）与等离子膀胱肿瘤切除术（PKRBT）治疗老年前列腺增生（BPH）的疗效。

选取2019年8月至2020年8月宝鸡市第二中医医院收治的老年BPH患者65例，根据治疗方式不同将其分为PKRBT组（32例）和HOLRBT组（33例）。比较两组患者的手术情况、临床疗效及术后并发症发生情况。计量资料的组间比较采用t检验，计数资料的组间比较采用χ²检验。

HOLRBT组患者手术时间、膀胱冲洗时间、尿管留置时间均短于PKRBT组，手术出血量小于PKRBT组（t=21.555、9.679、14.429、23.470，P<0.05）。两组患者术后最大尿流率、剩余尿和前列腺体积的差异无统计学意义（t=0.767、1.845、0.888，P>0.05）。HOLRBT组术后并发症发生率明显低于PKRBT组（χ²=3.910，P<0.05）。

HOLRBT与PKRBT治疗老年BPH的效果相当，但HOLRBT具有更好的微创性，术后并发症发生率更低，值得推广应用。

To compare the efficacy of transurethral holmium laser resection of bladder tumor (HOLRBT) and transurethral plasmakinetic resection of the bladder tumor (PKRBT) in the treatment of benign prostatic hyperplasia (BPH) in elderly patients.

A retrospective analysis was constructed on 65 elderly patients with BPH from the Second Hospital of Traditional Chinese Medicine in Baoji during August 2019 and August 2020. Patients were divided into PKRBT group (32 cases) and HOLRBT group (33 cases) according to different treatments. The operation, clinical efficacy and complications were compared between the two groups. The t test was used for the comparison of measurement data, and the χ² test was used for the comparison of counting data.

The operation time, bladder flushing time and catheter indwelling time in the study group were shorter than those in the control group, and the intraoperative blood loss in the study group was less than that in the control group (t=21.555, 9.679, 14.429, 23.470; P < 0.05). There was no significant difference in maximum urinary flow rate, residual urine and prostate volume between the groups (t=0.767, 1.845, 0.888; P > 0.05). The total incidence of complications in the HOLRBT group was significantly lower than that in the PKRBT group (χ²=3.910, P < 0.05).

HOLRBT and PKRBT have the same effect in the treatment of BPH in elderly patients, but the trauma during HOLRBT is more minimal, and the incidence of postoperative complications is low, which is worthy of promotion and application.