CAJ | 학술논문

目的研究经尿道前列腺等离子电切术治疗高危前列腺增生症患者的安全性、疗效和围手术期的准备工作。方法对23例高龄高危前列腺增生患者经尿道前列腺等离子电切手术。总结此类患者围手术期的准备工作、手术技巧和注意事项以及统计术后最大尿流率(Qmax)，国际前列腺症状评分(IPSS)，生活质量评分(QOL)的改变。结果患者平均手术时间(62±27) min( 35 ～ 88 min)，85％的患者在40 ～ 60 min内完成手术；切除前列腺组织平均重量36g（21～86 g），平均出血量约320ml( 230±80ml)，2例需输血，无TUR综合征发生，无手术患者死亡。术后共随访12个月。1个月、6个月、12个月，最大尿流率（Qmax）由术前的(5.3±3.2)分别上升至(15.5±4.1).(19.6±4.1)，(21. 2±4.8. )mL/s。国际前列腺症状评分(IPSS)由术前的23.6分别下降至16.3;10.8;7.7分。生活质量评分(QOL)由术前的5.5分别下降至1.8;1.6;1.3分。3项指标术前后比较差异均有显著性意义(p＜0.05)。结论经尿道前列腺等离子电切术作为治疗高龄高危前列腺增生患者安全有效的方法。
목적 연구경뇨도전렬선등리자전절술치료고위전렬선증생증환자적안전성、료효화위수술기적준비공작。방법 대23례고령고위전렬선증생환자경뇨도전렬선등리자전절수술。총결차류환자위수술기적준비공작、수술기교화주의사항이급통계술후최대뇨류솔(Qmax)，국제전렬선증상평분(IPSS)，생활질량평분(QOL)적개변。결과 환자평균수술시간(62±27) min( 35 ～ 88 min)，85％적환자재40 ～ 60 min내완성수술；절제전렬선조직평균중량36g（21～86 g），평균출혈량약320ml( 230±80ml)，2례수수혈，무TUR종합정발생，무수술환자사망。술후공수방12개월。1개월、6개월、12개월，최대뇨류솔（Qmax）유술전적(5.3±3.2)분별상승지(15.5±4.1).(19.6±4.1)，(21. 2±4.8. )mL/s。국제전렬선증상평분(IPSS)유술전적23.6분별하강지16.3;10.8;7.7분。생활질량평분(QOL)유술전적5.5분별하강지1.8;1.6;1.3분。3항지표술전후비교차이균유현저성의의(p＜0.05)。결론경뇨도전렬선등리자전절술작위치료고령고위전렬선증생환자안전유효적방법。
Objectives To investigate the safety, surgical effects and round the surgical operation expects of preparation work of transurethral vaporization of the prostate in old and high risk benign prostatic hyperplastia patients. Methods We performed transurethral vaporization of the prostat in 23 cases old and risk benign prostatic hyperplastia. We summarized round the surgical operation expects of preparation work, operation skills and regulation. we also compared after operation of Qmax, the Internation Prostate symptom scores ( IPSS), quallity of life chang(QOL). Results Surgery time is 35 ～ 88min , the mean time is 62 min. 85％ sufferers complete surgical operation in the 40 ～60 mins. The mean weight of the gland resected is 36g(21 ～86g) ,The mean volume of blood loss is 320ml (230 ± 80ml), 2 sufferers transfuse blood. No transurethral resection syndrome(TURS) was occurred.No case had died during the hospital stay. The follow -up time is 12 months. First month,the sixth months,the 12th month. The Qmax from before the operation (5.3 ± 3. 2 ) ml/s, rises to respectively ( 15.5 ± 4. 1 ) ml/s. ( 19. 6 ±4. 1 ) ml/s, ( 21. 2 ±4.8. ) mL/s. The IPSS from before the operation 23.6, drop to respectively 16.3 ; 10.8 ;7.7.The QOL from before the operation 5.5, drop to respectively 1.8 ; 1. 6 ; 1. 3. There is statistic significance between them( p ＜0.05 ). Conclusions Transurethral vaporization of the prostate in old and high risk benign prostatic hyperplasia patients is safe and efficacious.