CAJ | 학술논문

目的：探讨前列腺增生症(BPH)再手术的原因。方法：回顾分析26例BPH术后再入院手术患者的临床资料，再手术原因为膀胱颈挛缩13例、腺体残留复发10例、前列腺癌3例。结果：对膀胱颈挛缩及腺体残留复发者均施行开放手术或经尿道电切治疗，术后尿路梗阻症状解除。3例前列腺癌就诊已属晚期，施行去势术加氟他胺治疗，术后分别于10～28个月因全身广泛转移导致衰竭而死亡。结论：BPH开放手术后膀胱颈挛缩，TURP颈部切除不够或电灼较多等是BPH术后再手术的主要原因。TURP术后腺体残留复发率远高于开放性手术，其主要原因为腺体切除不够或残留复发所致。
목적：탐토전렬선증생증(BPH)재수술적원인。방법：회고분석26례BPH술후재입원수술환자적림상자료，재수술원인위방광경련축13례、선체잔류복발10례、전렬선암3례。결과：대방광경련축급선체잔류복발자균시행개방수술혹경뇨도전절치료，술후뇨로경조증상해제。3례전렬선암취진이속만기，시행거세술가불타알치료，술후분별우10～28개월인전신엄범전이도치쇠갈이사망。결론：BPH개방수술후방광경련축，TURP경부절제불구혹전작교다등시BPH술후재수술적주요원인。TURP술후선체잔류복발솔원고우개방성수술，기주요원인위선체절제불구혹잔류복발소치。
Purpose:To analyse the reason of reoperation of benign prostatic hyperplasia (BPH). Methods:Of26 BPH patients accepted reoperation, 13 patients with bladder neck contracture, 10 patients with recurrence ofBPH, 3 patients with prostate cancer. Results: Both bladder neck contracture and recurrence of BPH were curedwith open operation and TURP (Transurethral resection of the prostate). Prostate cancer patients were treatedwith orchiectomy or Flutamide,and died of metastasis in 10～ 28 months. Conclusions: The major reason ofreoperation of BPH is bladder neck contracture after oper prostatectomy and bladder neck ablated too much ortoo little after TURP. Of recurrence rate of BPH,TURP is higher than open prostatectomy,the major reason isincomplete resection of prostate.