CAJ | 학술논문

目的探讨经尿道前列腺等离子体双极电切术(PKRP)治疗良性前列腺增生(BPH)的临床疗效及安全性.方法经PKRP治疗BPH 100例,前列腺切割方法依腺体大小而定.观察手术前后国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)、残余尿量(PRV)并进行统计学分析.结果手术时间35～ 110min,切除前列腺组织重量10～ 125g,术中出血量30～ 200ml,术后膀胱持续冲洗时间2～3d,保留尿管时间3～4d,术后住院时间5 ～6d,所有患者无电切综合征(TURS)、闭孔神经反射、输血、包膜穿孔等并发症发生.术后IPSS、QOL、Qmax、PRV明显改善,差异有统计学意义(P＜0.05).结论 PKRP是一种安全性高、并发症少、对人体生理功能影响小、疗效确切的理想方法.值得临床推广应用.
목적 탐토경뇨도전렬선등리자체쌍겁전절술(PKRP)치료량성전렬선증생(BPH)적림상료효급안전성.방법 경PKRP치료BPH 100례,전렬선절할방법의선체대소이정.관찰수술전후국제전렬선증상평분(IPSS)、생활질량평분(QOL)、최대뇨류솔(Qmax)、잔여뇨량(PRV)병진행통계학분석.결과 수술시간35～ 110min,절제전렬선조직중량10～ 125g,술중출혈량30～ 200ml,술후방광지속충세시간2～3d,보류뇨관시간3～4d,술후주원시간5 ～6d,소유환자무전절종합정(TURS)、폐공신경반사、수혈、포막천공등병발증발생.술후IPSS、QOL、Qmax、PRV명현개선,차이유통계학의의(P＜0.05).결론 PKRP시일충안전성고、병발증소、대인체생리공능영향소、료효학절적이상방법.치득림상추엄응용.
Objectives To evaluate the safety and efficacy of transurethral plasmakinetic resection of prostate (PKRP) for treatment of benign prostatic hyperplasia (BPH).Methods The 100 cases of BPH were treated by PKRP; the cutting method was performed according to the size of gland.The international prostate symptom score ( IPSS),quality of life ( QOL),maximum flow rate ( Qmax),postvoid residual volume (PRV) of preoperation and postoperation were observed and statistically analyzed.Results All cases were treated successfully.The operative time was 35 ～ 110min,the weight of resected tissue was 10 ～ 125g,the intraoperative blood loss was 30 ～ 200ml,the bladder irrigating time after operation was 2 ～ 3 d,the duration of catheter was 3 ～ 4d,and the hospital stay after operation was 5 ～ 6d.There was no operative death,no blood transfusion was required,and no perforation of the prostatic capsule,obturator nerve reflex and transurethral resection syndrome (TURS) occurred.All patients were followed up for 3 months postoperatively,there were no serious complications.The differences of IPSS,QOL,Qmax and PRV between preoperation and postoperation were statistically significances ( P ＜ 0.05 ).Conclusions PKRP is a safe and effective method for treatment of BPH,it is worth popularizing.