CAJ | 학술논문

目的比较经尿道前列腺电切术（TURP）和TURP联合经尿道膀胱颈切开术（TUIBN）治疗小体积前列腺增生的疗效。方法分析2002年3月至2010年10月小体积前列腺增生患者的治疗资料，患者共124例，随机分为TURP组62例，有完整随访资料的54例，TURP联合TUIBN组62例（联合组），有完整随访资料的50例。比较两组患者术前、术后国际前列腺症状评分（IPSS）、最大尿流率（Qmax）、残余尿量（PVR）等指标，以评估疗效。结果术前两组患者年龄、病程、前列腺质量、IPSS、Qmax、PVR之间差异无统计学意义（P＞0．05）；术后两组IPSS、Qmax和PVR相比较，差异有统计学意义（P＜0．01）；联合组术后膀胱颈挛缩的发生率为4％，明显低于TURP组11％，两组比较差异有统计学意义（P＜0．01）；术中组织切除量、术后随访时间相比较差异无统计学意义（P＞0．05）。结论与TURP相比，TURP联合TUIBN是治疗小体积前列腺增生的一种较为理想的术式。
목적비교경뇨도전렬선전절술（TURP）화TURP연합경뇨도방광경절개술（TUIBN）치료소체적전렬선증생적료효。방법분석2002년3월지2010년10월소체적전렬선증생환자적치료자료，환자공124례，수궤분위TURP조62례，유완정수방자료적54례，TURP연합TUIBN조62례（연합조），유완정수방자료적50례。비교량조환자술전、술후국제전렬선증상평분（IPSS）、최대뇨류솔（Qmax）、잔여뇨량（PVR）등지표，이평고료효。결과술전량조환자년령、병정、전렬선질량、IPSS、Qmax、PVR지간차이무통계학의의（P＞0．05）；술후량조IPSS、Qmax화PVR상비교，차이유통계학의의（P＜0．01）；연합조술후방광경련축적발생솔위4％，명현저우TURP조11％，량조비교차이유통계학의의（P＜0．01）；술중조직절제량、술후수방시간상비교차이무통계학의의（P＞0．05）。결론여TURP상비，TURP연합TUIBN시치료소체적전렬선증생적일충교위이상적술식。
Objective To compare the effect of transurethral resection of prostate (TURP) and TURP combine with transure-thral incision of the bladder neck(TUIBN) in the treatment of small size prostate hyperplasia .Methods From March 2002 to Octo-ber 2010 ,124 cases of small-size prostate hyperplasia patients were treated .All patients were randomized to undergo TURP or TURP with TUIBN .There were 62 patients in TURP group .Of which ,54 cases were followed up .There were 62 patients in TURP plus TUIBN group .Of which ,50 cases were followed up .The treatment effect of the two different surgical methods was evaluated by comparing international prostate symptom (IPSS) ,maximum flow rate(Qmax) and post voiding residual urine volume(PVR) et al .Results No statistical difference (P>0 .05)was found in age ,medical histories ,prostatic weight ,IPSS ,Qmax ,PVR between the two groups before operation .But significant difference(P<0 .01)was observed in IPSS ,Qmax ,PVR between the two groups after operation .There was no statistical difference(P>0 .05) in resected tissue weight and follow up between the two groups .The inci-dence rate of bladder neck contracture was 4% in TURP plus TUIBN group ,and it was significantly lower than that of TURP group(11% )(P< 0 .01) .Conclusion TURP plus TUIBN was better for the treatment of small size prostatic hyperplasia than TURP .