CAJ | 학술논문

目的：探讨A型肉毒毒素（Botulinum toxin type A， BTX-A）在老年良性前列腺增生症(Benign Prostatic Hyperplasia ,BPH)中应用的可行性。方法回顾性地分析2010年10月~2013年6月来我院就诊的31例进行经直肠B超引导下经会阴注射BTX-A的60岁以上BPH患者的治疗疗效，评价BTX-A在BPH治疗中的价值。结果0例出现BTX-A术后并发症；4例出现注射后无效；19例出现术后6个月后排尿困难。结论经直肠B超引导下经会阴 A型肉毒毒素注射治疗老年BPH具有操作简便、并发症少、有效率高的特点。
목적：탐토A형육독독소（Botulinum toxin type A， BTX-A）재노년량성전렬선증생증(Benign Prostatic Hyperplasia ,BPH)중응용적가행성。방법회고성지분석2010년10월~2013년6월래아원취진적31례진행경직장B초인도하경회음주사BTX-A적60세이상BPH환자적치료료효，평개BTX-A재BPH치료중적개치。결과0례출현BTX-A술후병발증；4례출현주사후무효；19례출현술후6개월후배뇨곤난。결론경직장B초인도하경회음 A형육독독소주사치료노년BPH구유조작간편、병발증소、유효솔고적특점。
Objective To explore the feasibility of the injection of BTX-A in perineum in the benign prostatic hyperplasia. Methods Retrospectively analysis the 31 cases who are 60 years above, from October 2010 to June 2013, who got the injection of BTX-A from the perineum guided by the transrectal ultrasound, and to evaluate the value . Results No complication happened after the injection;4 cases had no ef icacy;19 cases had the urinary problem again in 6 months. Conclusion The method of the injection of the BTX-A from perineum guided by the transrectal ultrasound is convenient, less complication and high ef icacy.