CAJ | 학술논문

目的：探讨经尿道120W绿激光前列腺汽化术（ PVP）联合等离子电切术（ PKRP）治疗高危良性前列腺增生（ BPH）的临床疗效。方法2009年2月至2012年3月采用PVP联合PKRP治疗合并其他内科疾病的高危前列腺增生症共计62例，方法为先行PKRP术，切除大部分增生的腺体，再以PVP对剩余增生组织进行汽化并创面封闭止血。记录手术前后国际前列腺症状评分（ IPSS ）、生活质量评分（QOL）、最大尿流率（Qmax）等指标，并予随访1年。结果本组患者手术均获成功，手术时间平均（55．1±15．7）分钟。无电切综合征、大出血等严重并发症发生。术中均未输血，导尿管于术后48小时内拔除。IPSS、QOL、Qmax等指标均较术后改善明显，随访期内疗效满意。结论 PVP联用PKRP术治疗高危前列腺增生，发挥了两者的优势，手术时间短，术中出血少，术后恢复快，为一种有效的微创治疗方法。
목적：탐토경뇨도120W록격광전렬선기화술（ PVP）연합등리자전절술（ PKRP）치료고위량성전렬선증생（ BPH）적림상료효。방법2009년2월지2012년3월채용PVP연합PKRP치료합병기타내과질병적고위전렬선증생증공계62례，방법위선행PKRP술，절제대부분증생적선체，재이PVP대잉여증생조직진행기화병창면봉폐지혈。기록수술전후국제전렬선증상평분（ IPSS ）、생활질량평분（QOL）、최대뇨류솔（Qmax）등지표，병여수방1년。결과본조환자수술균획성공，수술시간평균（55．1±15．7）분종。무전절종합정、대출혈등엄중병발증발생。술중균미수혈，도뇨관우술후48소시내발제。IPSS、QOL、Qmax등지표균교술후개선명현，수방기내료효만의。결론 PVP련용PKRP술치료고위전렬선증생，발휘료량자적우세，수술시간단，술중출혈소，술후회복쾌，위일충유효적미창치료방법。
Objectives To evaluate the safety and effectiveness of the combined photoselective vaporization of the prostate ( PVP) and with bipolar plasmakinetic prostate resection ( PKRP) in high-risk patients .Methods Between February 2009 and March 2012 , a total of 62 high-risk patients underwent PVP plus bipolar TURP for severe lower urinary tract symptoms due to benign prostatic hyperplasia .International Prostate Symptom Score and quality-of -life questionnaire ( IPPS -QoL ) , maximum flow rates ( Qmax ) , postvoid urine residues ( PVR) and prostatic volumes were recorded .Perioperative data , functional outcome and complications were e-valuated.Patients were reassessed at 3, 6, 12 months.Results The mean operation time was 55.1 ±15.7 mi-nutes .No severe complications were observed .A significant difference in IPSS , Qmax and PVR values were re-corded within the follow -up period .Conclusions PVP plus bipolar TURP have excellent efficiency and low morbidity in patients with large prostates .