CAJ | 학술논문

目的：探讨经尿道前列腺双极等离子电切术（bipolar transurethral plasma kinetic resection of the prostate，TUPKP）治疗高危前列腺增生症（Benign prostatic hyperplasia，BPH）的安全性与有效性。方法回顾性分析经尿道前列腺双极等离子电切术治疗的高危 BPH 患者的临床资料97例，其中前列腺剜除51例、传统电切46例。结果手术时间为（51．3±22．1） min，术中出血平均（62．4±16．2） mL，切除的前列腺标本重量为（66．3±18．5）g，术后冲洗时间为（36．1±10．3）h，拔管时间为（5．0±1．5）d。国际前列腺症状评分（IPSS）由术前的（26．6±4．5）分降至（6．8±3．5）分，生活质量评分由术前的（4．9±1．3）分降至（1．8±0．6）分，差异均有统计学意义（P＜0．01）。结论经尿道等离子电切术治疗高危前列腺增生是一种安全、有效的手术方式，但需根据患者具体情况个体化选择行剜除术或行传统电切术。
목적：탐토경뇨도전렬선쌍겁등리자전절술（bipolar transurethral plasma kinetic resection of the prostate，TUPKP）치료고위전렬선증생증（Benign prostatic hyperplasia，BPH）적안전성여유효성。방법회고성분석경뇨도전렬선쌍겁등리자전절술치료적고위 BPH 환자적림상자료97례，기중전렬선완제51례、전통전절46례。결과수술시간위（51．3±22．1） min，술중출혈평균（62．4±16．2） mL，절제적전렬선표본중량위（66．3±18．5）g，술후충세시간위（36．1±10．3）h，발관시간위（5．0±1．5）d。국제전렬선증상평분（IPSS）유술전적（26．6±4．5）분강지（6．8±3．5）분，생활질량평분유술전적（4．9±1．3）분강지（1．8±0．6）분，차이균유통계학의의（P＜0．01）。결론경뇨도등리자전절술치료고위전렬선증생시일충안전、유효적수술방식，단수근거환자구체정황개체화선택행완제술혹행전통전절술。
Objective To assess the clinical efficacy and safety of bipolar transurethral plasma kinetic resection of the prostate (TUPKP) for treatment of high risk patients with benign prostatic hyperplasia (BPH). Methods The clinical data of 97 symptomatic BPH patients who underwent transurethral enucleate resection of prostate (TUERP) and TUPKP were retrospectively analyzed. 51 cases and 46 cases were performed by the methods of TUERP and TUPKP respectively. Results The mean operation time was (51.3 ±22.1) min. The volume of blood loss was (62.4 ±16.2) mL. The mean weight of resected prostate glands was (66.3±18.5) g. The washing time after operation was (36.1± 10.3) h; and the extubating time was (5.0±1.5) d. The international prostate symptom score (IPSS) decreased from 26.6±4.5 to 6.8±3.5.Quality of life decreased from 5.9±1.3 to 1.8±0.6 , and all the differences were significant (P<0.01). Conclusion TUPKP were effective and safe to deal with the patients with BPH in high risk, but proper individual operation method (TUERP or TUPKP) should depend on the specific circumstances of the patients.