CAJ | 학술논문

目的：探讨经尿道前列腺电切术（TURP）治疗大体积（＞80g）良性前列腺增生（BPH）的疗效。方法选取大体积BPH患者47例，均采用硬膜外麻醉行经尿道前列腺电切术。观察术中出血情况、手术时间、术后尿管留置时间、排尿情况、最大尿流率及住院时间等。结果47例均顺利完成前列腺电切术。手术时间75～150（101±15）min，无输血病例。术后留置导尿管3～5d，均排尿通畅，无尿失禁，术后住院时间5～7d。术后3个月时，平均最大尿流率由术前（4.3±0.5）ml/s增至（17.2±1.5）ml/s，国际前列腺症状评分及生活质量评分由术前的28.0±5.5和5.0±0.5分别降至8.5±2.3和2.5±0.4，手术前后比较差异均有统计学意义（均P＜0.01）。术后无继发出血。结论 TURP治疗大体积BPH是一种安全、有效的微创治疗方法，可显著提高手术效率。
목적：탐토경뇨도전렬선전절술（TURP）치료대체적（＞80g）량성전렬선증생（BPH）적료효。방법선취대체적BPH환자47례，균채용경막외마취행경뇨도전렬선전절술。관찰술중출혈정황、수술시간、술후뇨관류치시간、배뇨정황、최대뇨류솔급주원시간등。결과47례균순리완성전렬선전절술。수술시간75～150（101±15）min，무수혈병례。술후류치도뇨관3～5d，균배뇨통창，무뇨실금，술후주원시간5～7d。술후3개월시，평균최대뇨류솔유술전（4.3±0.5）ml/s증지（17.2±1.5）ml/s，국제전렬선증상평분급생활질량평분유술전적28.0±5.5화5.0±0.5분별강지8.5±2.3화2.5±0.4，수술전후비교차이균유통계학의의（균P＜0.01）。술후무계발출혈。결론 TURP치료대체적BPH시일충안전、유효적미창치료방법，가현저제고수술효솔。
Objective To evaluate the efficacy of transurethral resection of the prostate (TURP) for treatment of massive benign prostatic hyperplasia (BPH). Methods Forty- seven patients with obstructive massive BPH (>80g) were treated with TURP. Transfusion rate, resection time, time of indwel ing catheter, length of hospital stay, improvement in urinary flow rate (Qmax), international prostate symptom score (IPSS) and quality of life (QOL) were measured. Results Al cases were success-ful y operated. The mean operation time was (101±15) min. There was no transfusion in al patients. The catheter was indwel ed for 3 to 5 d postoperatively. Al patients were satisfied with voiding outcome, none had incontinence. The length of hospital stay ranged from 5 to 7 d postoperatively. Al cases were fol owed up for 3~42 months. Mean Qmax increased from (4.3±0.5) ml/s preoperatively to (17.2±1.5) ml/s postoperatively. IPSS decreased from 28.0±5.5 to 8.5±2.3 and QOL score decreased from 5.0±0.5 to 2.5±0.4, respectively (P<0.01). No hemorrhage occurred after the operation. Conclusion TURP for massive BPH is a safe, effective and minimal y invasive treatment method.