CAJ | 학술논문

目的探讨经尿道选择性绿激光汽化术治疗前列腺增生症的临床疗效及安全性. 方法回顾性分析以经尿道选择性绿激光汽化术治疗前列腺增生症60例患者的临床资料,观察手术时间、术后留置尿管时间、手术并发症,对比手术前后国际前列腺症状评分、生活质量评分、最大尿流率和残余尿量的变化. 结果 60例患者均治愈出院,手术时间15～70 min,术后留置尿管时间60～120 h.术后随访2～6个月,国际前列腺症状评分由(27.4±3.6)分降至(5.5±3.2)分(t=2.471,P＜0.05);生活质量评分由(5.1±0.6)分降至(1.4±0.7)分(t=2.392,P＜0.05);最大尿流率由(5.1±2.2 ml)ml/s升至(20.4±1.7)ml/s,(t=2.287,P＜0.05);残余尿量由(107.4±33.1)ml降至(16.9±3.9)ml,(t=2.513,P＜0.05).未发生经尿道电切综合征、尿失禁等严重并发症. 结论经尿道选择性绿激光汽化术治疗前列腺增生症具有操作简单、治疗效果好、无严重并发症等优点,值得推广应用.
목적 탐토경뇨도선택성록격광기화술치료전렬선증생증적림상료효급안전성. 방법 회고성분석이경뇨도선택성록격광기화술치료전렬선증생증60례환자적림상자료,관찰수술시간、술후류치뇨관시간、수술병발증,대비수술전후국제전렬선증상평분、생활질량평분、최대뇨류솔화잔여뇨량적변화. 결과 60례환자균치유출원,수술시간15～70 min,술후류치뇨관시간60～120 h.술후수방2～6개월,국제전렬선증상평분유(27.4±3.6)분강지(5.5±3.2)분(t=2.471,P＜0.05);생활질량평분유(5.1±0.6)분강지(1.4±0.7)분(t=2.392,P＜0.05);최대뇨류솔유(5.1±2.2 ml)ml/s승지(20.4±1.7)ml/s,(t=2.287,P＜0.05);잔여뇨량유(107.4±33.1)ml강지(16.9±3.9)ml,(t=2.513,P＜0.05).미발생경뇨도전절종합정、뇨실금등엄중병발증. 결론 경뇨도선택성록격광기화술치료전렬선증생증구유조작간단、치료효과호、무엄중병발증등우점,치득추엄응용.
Objective To explore the management of benign prostatic hyperplasia(BPH)by photoselective vaporization of prostate(PVP)and curative effect in the near future. Methods Clinical data of 60 BPH patients underwent PVP were retrospctively aralyzed.The changes of IPSS and QOL and the max urine flow rate and residual urine volume(RUV)perioperatively were compared through observations of the operation time and complication. Results The therapeutic efficacy was favourable.No transurethral resection of prostate(TURP)syndrome and uroclepsia happens.IPSS(t=2.471,P <0.05)and QOL(t=2.392,P <0.05)and the max urine flow rate(t=2.287,P ＜0.05)and residual urine volume(t=2.513,P＜0.05)obviously improved(P ＜0.05). Conclusion PVP had many advantages such as operated simply and no serious complications.It was a good operation method to treat BPH.