CAJ | 학술논문

目的探讨经尿道前列腺电切术(TURP)用于高龄、大体积、高风险良性前列腺增生(BPH)患者治疗的效果.方法回顾分析318例年龄＞ 80岁、麻醉风险评估＞2、前列腺体积＞60g的良性前列腺增生患者行TURP治疗的临床资料.结果所有318例患者均手术顺利.手术时间40～85 min,平均58.2min.术中输血量200～600 ml.未出现严重并发症.术后随访1～12个月,国际前列腺症状评分平均下降14.7分,生活质量评分平均下降3.3分,最大尿流率平均增加6.4 ml/s；残余尿平均下降85.3 ml.结论充分的术前准备和机体状态评估、术中和围手术期维持稳定的血液循环状态、心脑肺等脏器良好的血液供应是保障手术成功的关键,并可有效预防并发症发生.
목적 탐토경뇨도전렬선전절술(TURP)용우고령、대체적、고풍험량성전렬선증생(BPH)환자치료적효과.방법 회고분석318례년령＞ 80세、마취풍험평고＞2、전렬선체적＞60g적량성전렬선증생환자행TURP치료적림상자료.결과 소유318례환자균수술순리.수술시간40～85 min,평균58.2min.술중수혈량200～600 ml.미출현엄중병발증.술후수방1～12개월,국제전렬선증상평분평균하강14.7분,생활질량평분평균하강3.3분,최대뇨류솔평균증가6.4 ml/s；잔여뇨평균하강85.3 ml.결론 충분적술전준비화궤체상태평고、술중화위수술기유지은정적혈액순배상태、심뇌폐등장기량호적혈액공응시보장수술성공적관건,병가유효예방병발증발생.
Objective To improve the skills and level of TURP and peri-operative period managements to the high risky senile patients with large volume benign prostatic hyperplasia.Methods The clinical data of 318 high risky and senile patients whose ages above 80ys,ASA score ＞ 2 and prostate volume ＞ 60g were analyzed retrospectively.They underwent the treatment of TURP.Results Total 318 patients underwent TURP were safe.The operating time ranged from 40 to 85 minutes,averaged 58.2minutes;the volume of blood transfusion ranged from 200ml to 600ml;No serious complications happened during and after the operation.With follow up of 1 ～ 12 months,the International Prostate Symptom Scores(I-PSS) decreased 14.7 averagely,Quality of Life(QOL) decreased 3.3 averagely,Maximal flow rate( Qmax ) increased 6.4ml/s averagely,and Post-voided Residual(PVR) decreased 85.3ml averagely.Conclusion The actions including sufficient preparations and evaluations pre-operatively,the maintenance to the stability of circulatory system during the operation,guaranteeing the demands of blood exchange in the vital organs such as heart,lungs and brain,are the key points to the success.