CAJ | 학술논문

目的探讨前列腺等离子切除术(PKRP)后患者LUTS症状与尿动力学参数变化情况.方法回顾分析2008年8月至2011年8月,采用PKRP治疗的良性前列腺增生(BPH)患者,收集患者临床资料,随访6个月,并对手术前后患者国际前列腺症状评分(IPSS)、储尿期症状评分(IPSS-1)、排尿期症状评分(IPSS-2)、尿动力学参数进行比较.结果 PKRP手术治疗BPH患者68例,术后1个月最大尿道压力(Pmax)、最大尿流率(Vmax)、IPSS-2较术前明显改善(P＜0.05),IPSS、IPSS-1、最大排动力(Pves)、最大尿肌压力(Pdet)改善不明显(P＞0.05)；术后6个月尿动力学参数、IPSS、IPSS-1、IPSS-2较术前明显改善(P＜0.05).结论前列腺等离子切除术后患者LUTS症状与尿动力学参数改善时间不一致,随术后时间推移而好转.
목적 탐토전렬선등리자절제술(PKRP)후환자LUTS증상여뇨동역학삼수변화정황.방법 회고분석2008년8월지2011년8월,채용PKRP치료적량성전렬선증생(BPH)환자,수집환자림상자료,수방6개월,병대수술전후환자국제전렬선증상평분(IPSS)、저뇨기증상평분(IPSS-1)、배뇨기증상평분(IPSS-2)、뇨동역학삼수진행비교.결과 PKRP수술치료BPH환자68례,술후1개월최대뇨도압력(Pmax)、최대뇨류솔(Vmax)、IPSS-2교술전명현개선(P＜0.05),IPSS、IPSS-1、최대배동력(Pves)、최대뇨기압력(Pdet)개선불명현(P＞0.05)；술후6개월뇨동역학삼수、IPSS、IPSS-1、IPSS-2교술전명현개선(P＜0.05).결론 전렬선등리자절제술후환자LUTS증상여뇨동역학삼수개선시간불일치,수술후시간추이이호전.
Objectives To investigate the LUTS symptoms and urodynamic parameters change after PKRP.Methods A retrospective analysis of patients treated with PKRP,which collected from patients with clinical data,followed up for 6 months,before and after operation in patients with the International Prostate Symptom Score (IP-SS),urinary storage symptoms score (IPSS-1),voiding symptom score (IPSS-2),urodynamic parameters in comparison.Results 2008 August to 2011 August PKRP operation in treatment of 68 patients with BPH,1months after the operation of Pmax,Vmax,IPSS-2 was significantly increased(P ＜ 0.05),IPSS,IPSS-1,Pves,Pdet improved(P ＞0.05) ; 6 months postoperative urodynamic parameters,IPSS,IPSS-1,IPSS-2 operation improved significantly(P ＜ 0.05).Conclusions After resection of prostate plasma in patients with LUTS symptoms and urodynamic parameters to improve the time inconsistency,with postoperative time.