CAJ | 학술논문

目的：探讨经尿道等离子双极电刀前列腺剜除（PKEP）治疗良性前列腺增生（BPH）的临床应用。方法选择大连医科大学附属第二医院2012年11月-2013年5月，具有手术指征，单纯的BPH患者共计140例，年龄61～84岁，平均68．6岁，随机分为2组。PKEP组（60例）行经尿道等离子双极电刀前列腺剜除术（PKEP），TURP组（80例）行经尿道前列腺电切术（TURP）。统计每例患者术前国际前列腺症状评分（IPSS）、生活质量评分（QOL）和最大尿流率（Qmax），手术时间、术中术后有无并发症、输血，术后尿管留置时间、平均住院日及术后2周IPSS、QOL、Qmax。结果两组IPSS、QOL、Qmax术前术后比较差异有显著性意义（P＜0．05），但两组间比较无明显差异（P＞0．05）。两组平均手术时间差异无显著性意义（P＞0．05），PKEP组和TURP组患者平均尿管留置时间分别为（46．2±12．5）h和（92．6±20．8）h；平均住院日分别为（7．2±2．4）d和（9．1±2．1）d。两组比较差异有显著性意义（P＜0．05）。所有患者术中术后均无输血，TURP组患者术中3例出现电切综合征（TURS）。结论等离子腔内前列腺剜除手术安全、有效，且具有术后尿管留置时间少及住院时间短等优点，可作为治疗BPH的一种选择。
목적：탐토경뇨도등리자쌍겁전도전렬선완제（PKEP）치료량성전렬선증생（BPH）적림상응용。방법선택대련의과대학부속제이의원2012년11월-2013년5월，구유수술지정，단순적BPH환자공계140례，년령61～84세，평균68．6세，수궤분위2조。PKEP조（60례）행경뇨도등리자쌍겁전도전렬선완제술（PKEP），TURP조（80례）행경뇨도전렬선전절술（TURP）。통계매례환자술전국제전렬선증상평분（IPSS）、생활질량평분（QOL）화최대뇨류솔（Qmax），수술시간、술중술후유무병발증、수혈，술후뇨관류치시간、평균주원일급술후2주IPSS、QOL、Qmax。결과량조IPSS、QOL、Qmax술전술후비교차이유현저성의의（P＜0．05），단량조간비교무명현차이（P＞0．05）。량조평균수술시간차이무현저성의의（P＞0．05），PKEP조화TURP조환자평균뇨관류치시간분별위（46．2±12．5）h화（92．6±20．8）h；평균주원일분별위（7．2±2．4）d화（9．1±2．1）d。량조비교차이유현저성의의（P＜0．05）。소유환자술중술후균무수혈，TURP조환자술중3례출현전절종합정（TURS）。결론등리자강내전렬선완제수술안전、유효，차구유술후뇨관류치시간소급주원시간단등우점，가작위치료BPH적일충선택。
Objective To evaluate clinical application of transurethral plasmakinetic enucleation of the prostate ( PKEP) in the treatment of benign prostatic hyperplasia ( BPH) .Methods A total of 140 BPH patients in our hospital , aged 61-84 (mean 68.6) years, with indication of surgery, underwent transurethral plasmakinetic enucleation of the prostate (PKEP group, n=60) or transurethral resection of prostate (TURP group, n=80).Pre-and post-operative International Pros-tate Symptom Score ( IPSS ) , quality of life ( QOL ) and maximum urinary flow rates ( Qmax ) , as well as intra -and post-operative bleeding and complications were recorded and analyzed .Results There were significant differences between pre-and post-operative IPSS,QOL and Qmax in both PKEP and TURP groups (P<0.05).However, the values were not significantly different when compared between the two groups (P>0.05).The operation times were not significantly differ-ent between the two groups.The mean time of hospitalization was (7.2 ±2.4)d in PKEP group, versus (9.1 ±2.1)d in TURP group, and the duration of catheterization was (46.2 ±12.5) h and (92.6 ±20.8) h, respectively(P<0.05). One hundred patients did not receive blood transfusion both intra -and post -operation .Three patients in TURP group were complicated by mild intra -operative transurethral resection syndrome ( TURS) .Conclusion PKEP is a safe and ef-fective procedure , which has less time of mean hospitalization and catheterization .PKEP can be chosen as surgical treat-ment for BPH .