CAJ | 학술논문

目的探讨经尿道前列腺纽扣式电极等离子汽化剜切术治疗良性前列腺增生症的疗效及其安全性.方法 2011年7至10月浙江大学医学院附属第一医院泌尿外科应用奥林帕斯( Olympus)等离子纽扣电极结合环状电极行经尿道前列腺等离子汽化剜切术治疗16例良性前列腺增生症患者.我们对前列腺重量,国际前列腺症状评分(IPSS),生活质量指数评分(QOL),手术时间,失血量,尿管留置时间,住院时间,围手术期并发症及切除前列腺组织重量进行了评估.结果本组16例手术均获成功.未发生明显出血及经尿道电切综合征.患者平均年龄(67.3±8.1)岁.术前前列腺重量为19～91 g,平均(49±24)g,切除前列腺组织10 ～50 g,平均(36±16)g.围手术期未发生严重并发症.平均手术时间(116±31)rmin,术后平均留置导尿管时间(4.9±1.8)d.平均住院时间为(16.6±5.5)d.IPSS由术前(15.6.±6.8)分降至术后(6.7±2.4)分差异有统计学意义(P＜0.01),QOL由术前(3.4±1.4)分降至术后(1.6±0.6)分(P＜0.01).结论经尿道前列腺纽扣式电极等离子汽化剜切术是一种治疗BPH安全有效的可选择方法.
목적 탐토경뇨도전렬선뉴구식전겁등리자기화완절술치료량성전렬선증생증적료효급기안전성.방법 2011년7지10월절강대학의학원부속제일의원비뇨외과응용오림파사( Olympus)등리자뉴구전겁결합배상전겁행경뇨도전렬선등리자기화완절술치료16례량성전렬선증생증환자.아문대전렬선중량,국제전렬선증상평분(IPSS),생활질량지수평분(QOL),수술시간,실혈량,뇨관류치시간,주원시간,위수술기병발증급절제전렬선조직중량진행료평고.결과 본조16례수술균획성공.미발생명현출혈급경뇨도전절종합정.환자평균년령(67.3±8.1)세.술전전렬선중량위19～91 g,평균(49±24)g,절제전렬선조직10 ～50 g,평균(36±16)g.위수술기미발생엄중병발증.평균수술시간(116±31)rmin,술후평균류치도뇨관시간(4.9±1.8)d.평균주원시간위(16.6±5.5)d.IPSS유술전(15.6.±6.8)분강지술후(6.7±2.4)분차이유통계학의의(P＜0.01),QOL유술전(3.4±1.4)분강지술후(1.6±0.6)분(P＜0.01).결론 경뇨도전렬선뉴구식전겁등리자기화완절술시일충치료BPH안전유효적가선택방법.
Objective To describe an efficient and effective method of using Olympus TURis button plasma vaporization electrode plus loop electrode for transurethral vapor enucleation and resection of prostate.Methods Between July 2011 and October 2011,the investigators performed transurethral vapor enucleation and resection of prostate using Olympus TURis button plasma vaporization electrode plus loop electrode in 16 consecutive patients at our institution. The parameters of prostate weight,International Prostate Symptom Score (IPSS),quality of life (QOL),operative duration,blood loss volume,catherization period,duration of hospitalization,perioperative complications and the weight of enucleated tissue were evaluated. IPSS and QOL were recorded during the follow-up.Results No patient had significant blood loss or signs of transurethral resection syndrome.The mean patient age was 67.3 ± 8.1years.Mean preoperative prostate weight was 49 ±24 g ( range:19 -91 ) and mean resected tissue weight 36 ± 16 g ( range:10 - 50).Serious complications were not observed.Operative duration was 116 ± 31minutes,mean catheter time 4.9 ± 1.8 days and the duration of hospitalization was 16.6 ± 5.5 days.Transurethral vapor enucleation and resection of prostate induced significant,pronounced,immediate and lasting improvement in IPSS ( 15.6 ± 6.8 vs 6.7 ± 2.4,P ＜ 0.01 ) and QOL ( 3.4 ± 1.4 vs 1.6 ± 0.6,P ＜0.01 ).Conclusion Transurethral vapor enucleation and resection of prostate with Olympus TURis plasma button electrode is a safe,effective and thorough surgical method in the treatment of benign prostatic hyperplasia.