CAJ | 학술논문

目的：总结分割法切除在巨大良性前列腺增生症(BPH)中的应用。方法回顾性分析29例巨大BPH患者采用分割法经尿道前列腺切除术(TURP)治疗的临床资料。切除前列腺重量80-100g，平均87g；手术时间50-125min，平均86min；术后输血5例(17.2%)。结果前列腺症状评分(IPSS)由术前平均28±2.3分降至术后8.2±2.5分；最大尿流率由术前平均6.1±2.5ml/s升至术后平均17.6±5.4ml/s；膀胱残余尿量由术前50-1000ml降至术后0-45ml。手术并发症4例(13.8%)，其中前列腺电切综合征(TURS)2例，尿道狭窄2例。结论 TURP是治疗巨大BPH相对安全、并发症少、疗效较好。
목적：총결분할법절제재거대량성전렬선증생증(BPH)중적응용。방법회고성분석29례거대BPH환자채용분할법경뇨도전렬선절제술(TURP)치료적림상자료。절제전렬선중량80-100g，평균87g；수술시간50-125min，평균86min；술후수혈5례(17.2%)。결과전렬선증상평분(IPSS)유술전평균28±2.3분강지술후8.2±2.5분；최대뇨류솔유술전평균6.1±2.5ml/s승지술후평균17.6±5.4ml/s；방광잔여뇨량유술전50-1000ml강지술후0-45ml。수술병발증4례(13.8%)，기중전렬선전절종합정(TURS)2례，뇨도협착2례。결론 TURP시치료거대BPH상대안전、병발증소、료효교호。
Objective To summary the therapy method of huge benign prostatic hyperplasia. Method Review the clinical data of 29 patients with huge BPH who were treated by divided transurethral resection of the prostate. Of all the 29 patients, the weight of the resected prostate is 80-100g, and the average is 87g;the time of operation is 50-125 minutes, and the average is 86 minutes;only 5 patients were transfused blood after the operation. Results The IPSS decreased from 28±2.3 to 8.2±2.5;the Max of Micturition rose from 6.1±2.5ml/s to 17.6±5.4ml/s;the residual urine fell from 50-1000ml to 0-45ml. There were 4 patients had complications:2 belong to TURS, 2 were urethral stricture. Conclusion TURP it is a safe and good method to treat huge BPH.