CAJ | 학술논문

目的探讨经尿道前列腺电切术(TURP)的手术方法.方法观察15例前列腺增生症(BPH)电切术后尿道前列腺部的膀胱镜下表现和MRI检查,测量国际前列腺症状评分(IPSS)、生活质量评分(QOL)和最大尿流率.结合手术体会、文献进行分析.结果术后6年,电切达前列腺包膜的患者,仍有宽阔的尿道前列腺部,未见腺体增生.MRI显示膀胱颈呈漏斗型,膀胱镜下膀胱颈无抬高或挛缩的患者,虽然尖区残留腺体有不同程度的增生,但IPSS、QOL和最大尿流率尚满意.结论可沿外科包膜平面将增生腺体大部分切除的经尿道前列腺剜除术,远期疗效最佳.
목적 탐토경뇨도전렬선전절술(TURP)적수술방법.방법 관찰15례전렬선증생증(BPH)전절술후뇨도전렬선부적방광경하표현화MRI검사,측량국제전렬선증상평분(IPSS)、생활질량평분(QOL)화최대뇨류솔.결합수술체회、문헌진행분석.결과 술후6년,전절체전렬선포막적환자,잉유관활적뇨도전렬선부,미견선체증생.MRI현시방광경정루두형,방광경하방광경무태고혹련축적환자,수연첨구잔류선체유불동정도적증생,단IPSS、QOL화최대뇨류솔상만의.결론 가연외과포막평면장증생선체대부분절제적경뇨도전렬선완제술,원기료효최가.
Objective To evaluate surgical techniques of the transurethral resection of prostate (TURP).Methods Fifteen cases of benign prostatic hyperplasia after TURP had cystoscopy and MRI examination,measurement of IPSS,QOL and flow rate,literatures review was analyzed with operation experience.Results Six years after operation,prostatic urethra was liberality in the patients who had prostatic capsule sparing,no gland hyperplasia.MRI showed that patients with funnel -shaped bladder neck,without bladder neck elevation or contracture,the IPSS,QOL and the maximum flow rate was still satisfied,although there were tissue residue and gland cell proliferation.Conclusions Because transurethral plasma kinetic enucleation of prostate resection reached the prostatic capsule,long - term curative effect will be satisfactory.