CAJ | 학술논문

目的：观察经尿道前列腺绿激光汽化术后尿频症状的恢复过程，研究相应的治疗措施。方法研究对象为122例术前均有尿频症状的前列腺增生患者，均行经尿道前列腺绿激光汽化术治疗。统计术前夜尿次数、残余尿、最大尿流率、生活质量评分，术后1个月、3个月、6个月、1年时分别随访夜尿次数、残余尿、最大尿流率、生活质量评分，并分别行膀胱镜检查观察手术创面恢复情况，比较手术后尿频改善的过程及与其他指标恢复的情况。结果122例患者术前平均夜尿次数7．8次，术后1个月、3个月、6个月、1年时夜尿次数分别为5．3次、3．5次、1．6次、0．8次，部分病例加用α-受体阻滞剂治疗，结合膀胱镜复查情况，与手术创面恢复情况呈一致性。结论前列腺绿激光汽化术后尿频症状较排尿困难等症状恢复较慢，与手术后创面恢复情况有关，必要时术后加用α-受体阻滞剂治疗，效果显著。
목적：관찰경뇨도전렬선록격광기화술후뇨빈증상적회복과정，연구상응적치료조시。방법연구대상위122례술전균유뇨빈증상적전렬선증생환자，균행경뇨도전렬선록격광기화술치료。통계술전야뇨차수、잔여뇨、최대뇨류솔、생활질량평분，술후1개월、3개월、6개월、1년시분별수방야뇨차수、잔여뇨、최대뇨류솔、생활질량평분，병분별행방광경검사관찰수술창면회복정황，비교수술후뇨빈개선적과정급여기타지표회복적정황。결과122례환자술전평균야뇨차수7．8차，술후1개월、3개월、6개월、1년시야뇨차수분별위5．3차、3．5차、1．6차、0．8차，부분병례가용α-수체조체제치료，결합방광경복사정황，여수술창면회복정황정일치성。결론전렬선록격광기화술후뇨빈증상교배뇨곤난등증상회복교만，여수술후창면회복정황유관，필요시술후가용α-수체조체제치료，효과현저。
Objective To observe the recovery process and treatment measures for frequent micturition symptom after photo -selective vaporization of prostate .Methods 122 patients who had frequent micturition symptoms with benign prostatic hyperplasia underwent transurethral vaporization of the prostate by green laser treatment . Collect statistics of urinary frequency , residual urine , maximum urinary flow rate ,quality of life score before the operation and 1 month, 3 months, 6 months, 1 year after PVP, and underwent cystoscopy operation to summary after operation process and other indexes recovered .Results 122 patients with preoperative mean nocturia num-ber 7.6, After 1 months, 3 months, 6 months, 1 year the number of nocturia is respectively 5.3, 3.5, 1.6 and 0.8, some of these with α-receptor blocker treatment , combined with the cystoscopy .Conclusion Slower re-covery micturition symptom is difficulty in urination and other symptoms of prostate green laser vaporization and after operation , wound recovery , when necessary , after addition ofα-receptor blocker treatment .