CAJ | 학술논문

目的探讨经尿道汽化电切术(TUVP)治疗良性前列腺增生(BPH)的临床疗效及安全性.方法对836例BPH患者行TUVP,观察患者的手术时间、术中出血量、冲洗液用量、术后留置尿管时间及术后并发症的发生率.观察患者术前术后的国际前列腺症状评分、生活质量评分、最大尿流速及剩余尿量(Ru)的变化情况.结果所有患者均未发生严重并发症.术后出现轻度尿失禁25例(2.9%),膀胱痉挛性疼痛27例(3.2%).所有患者的IPSS评分,QOL评分,等缩短,Qmax比治疗前提高至,Ru比治疗前减少.所有观察指标治疗前后相比较,差异均有统计学意义(P<0.05).结论 TUVP是一种治疗BPH创伤小、恢复快、并发症少、安全有效的手术方法,值得临床推广.
목적탐토경뇨도기화전절술(TUVP)치료량성전렬선증생(BPH)적림상료효급안전성.방법대836례BPH환자행TUVP,관찰환자적수술시간、술중출혈량、충세액용량、술후류치뇨관시간급술후병발증적발생솔.관찰환자술전술후적국제전렬선증상평분、생활질량평분、최대뇨류속급잉여뇨량(Ru)적변화정황.결과소유환자균미발생엄중병발증.술후출현경도뇨실금25례(2.9%),방광경련성동통27례(3.2%).소유환자적IPSS평분,QOL평분,등축단,Qmax비치료전제고지,Ru비치료전감소.소유관찰지표치료전후상비교,차이균유통계학의의(P<0.05).결론 TUVP시일충치료BPH창상소、회복쾌、병발증소、안전유효적수술방법,치득림상추엄.
objective to transurethral electrovaporization (TUVP) for the treatment of benign prostatic hyperplasia (BPH) clinical efficacy and safety. Methods 836 patients with BPH underwent TUVP, observed in patients with operation time, intraoperative bleeding, flushing fluid volume, postoperative indwelling catheter and the incidence of postoperative complications. Observation of patients with preoperative and postoperative International Prostate Symptom Score, quality of life score, peak urinary flow rate and residual urine volume (Ru) change of. Results all the patients had no severe complications. After a mild urinary incontinence in 25 cases (2.9%), bladder spastic pain in 27 cases (3.2%). All patients with IPSS score, QOL score, shorten, Qmax than before treatment to reduce, Ru than before treatment. All indexes were observed before and after treatment are compared, the differences were statistically significant (P<0.05). Conclusion TUVP is a treatment of BPH small trauma, rapid recovery, fewer complications, safe and effective operation method, worthy of clinical application.