CAJ | 학술논문

目的比较经尿道前列腺等离子腔内剜除术(TUERP)与经尿道前列腺等离子切除术(PKRP)治疗良性前列腺增生(BPH)的疗效、安全性以及对性功能的影响.方法 80例BPH患者随机分为两组,分别行TUERP与PKRP.随访12个月,比较两组最大尿流率(Qmax)、残余尿量(PVR)、血清前列腺特异抗原(PSA)水平、前列腺体积(PV)、国际前列腺症状评分(IPSS)、生活质量评分(QOL)、膀胱内前列腺突出(1PP)等指标及勃起功能障碍情况和逆行射精情况的变化.结果两组自身术后1、3、6、12个月Qmax、PVR、IPSS、QOL均较术前改善.两组间比较,术后1个月在前列腺体积差异有统计学意义.术后3个月在前列腺体积和残余尿量上差异有统计学意义.术后6个月及12个月前列腺体积、残余尿量和PSA上TUERP组均明显小于PKRP组.术后勃起功能障碍(ED)及逆行射精情况发生率两组间比较差异无统计学意义.结论 TUERP术与PKRP术相比,近期手术疗效相似,前列腺切除率高于PKRP组.TUERP对患者性功能有一定的影响,但通过恰当的个性化治疗,部分患者的性功能是可恢复的.
목적 비교경뇨도전렬선등리자강내완제술(TUERP)여경뇨도전렬선등리자절제술(PKRP)치료량성전렬선증생(BPH)적료효、안전성이급대성공능적영향.방법 80례BPH환자수궤분위량조,분별행TUERP여PKRP.수방12개월,비교량조최대뇨류솔(Qmax)、잔여뇨량(PVR)、혈청전렬선특이항원(PSA)수평、전렬선체적(PV)、국제전렬선증상평분(IPSS)、생활질량평분(QOL)、방광내전렬선돌출(1PP)등지표급발기공능장애정황화역행사정정황적변화.결과 량조자신술후1、3、6、12개월Qmax、PVR、IPSS、QOL균교술전개선.량조간비교,술후1개월재전렬선체적차이유통계학의의.술후3개월재전렬선체적화잔여뇨량상차이유통계학의의.술후6개월급12개월전렬선체적、잔여뇨량화PSA상TUERP조균명현소우PKRP조.술후발기공능장애(ED)급역행사정정황발생솔량조간비교차이무통계학의의.결론 TUERP술여PKRP술상비,근기수술료효상사,전렬선절제솔고우PKRP조.TUERP대환자성공능유일정적영향,단통과흡당적개성화치료,부분환자적성공능시가회복적.
Objective To compare transurethral enucleation of plasma chamber(TUERP)plasma and tran-surethral resection of the prostate(PKRP) treatment efficacy,security and the impact on sexual function.Methods 80 cases of BPH patients were randomly divided into two groups,TUERP and PKRP.Follow-up for 12 months,compared two groups maximum urinary flow rate(Qmax),residual urine volume(PVR),serum prostate-specific antigen(PSA) level,prostate volume(PV),international prostate symptom score(IPSS),quality of life score(QOL),the bladder prostate prominent(IPP)and other indicators and erectile dysfunction and retrograde ejaculation changing circum-stances were compared.Results In the weight of prostate surgery there were significant differences,in which removal of the weight of TUERP group significantly higher than PKRP group.After 12 months,32 cases of TUERP patients and 31 patients of PKRP group completed follow-up.After 1,3,6,12 months,Qmax,PVR,IPSS,QOL improved than that before surgery.Two groups were compared after a month,and there were significant differences in prostate volume,which TU/ERP group was significantly smaller than PKRP group.After3 months in the prostate volume and residual U-rine volume there were significant differences,both TUERP group Was significantly smaller than PKRP group.After 6 months and 12 months in the prostate volume,residual urine volume and there were significant differences in PSA,both TUERP group was significantly smaller than PKRP group.ED,and retrograde ejaculation occured after the rate of two between the two groups was no significant difference.Conclusion Transurethral enueleation of plasma chamber on sexual function in patients,but through the appropriate personalized treatment,sexual function in some patients was recoverable.