CAJ | 학술논문

目的:探讨经尿道前列腺电切术(transurethral resection of prostate,TURP)对老年良性前列腺增生症(benign prostatic hyperplasia,BPH)患者生活质量(quality of life,QOL)的影响.方法:对358例老年BPH患者TURP术前及术后3月进行国际前列腺症状评分(International Prostate Symptom Score,IPSS)、勃起功能国际问卷(The 5-Item Version of the Intemational lndex of Erectile Function,IIEF-5)、生活质量评分(Quality of Life Scale,QOLS)、焦虑自评量表(Self-Rating Anxiety scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)评估,同时检测最大尿流率(maximum flow rate,Qmax)和剩余尿量(residual urine volume,RUV).结果:术后3月与术前比较,患者的IPSS,QOLS,SAS和SDS评分以及RUV显著性减少,Qmax显著性增高,但反映性功能指标的IIEF-5评分治疗前、后无统计学差异.结论:IURP能显著缓解老年BPH患者症状,显著改善患者的QOL;TURP对性功能的改善没有帮助.
목적:탐토경뇨도전렬선전절술(transurethral resection of prostate,TURP)대노년량성전렬선증생증(benign prostatic hyperplasia,BPH)환자생활질량(quality of life,QOL)적영향.방법:대358례노년BPH환자TURP술전급술후3월진행국제전렬선증상평분(International Prostate Symptom Score,IPSS)、발기공능국제문권(The 5-Item Version of the Intemational lndex of Erectile Function,IIEF-5)、생활질량평분(Quality of Life Scale,QOLS)、초필자평량표(Self-Rating Anxiety scale,SAS)、억욱자평량표(Self-rating Depression Scale,SDS)평고,동시검측최대뇨류솔(maximum flow rate,Qmax)화잉여뇨량(residual urine volume,RUV).결과:술후3월여술전비교,환자적IPSS,QOLS,SAS화SDS평분이급RUV현저성감소,Qmax현저성증고,단반영성공능지표적IIEF-5평분치료전、후무통계학차이.결론:IURP능현저완해노년BPH환자증상,현저개선환자적QOL;TURP대성공능적개선몰유방조.