CAJ | 학술논문

目的：比较经尿道汽化电切术（TUVRP）和开放性手术（OP）治疗重度良性前列腺增生（BPH）的临床疗效。方法将重度BPH患者309例按随机数字表法分为TUVRP组（156例）和OP组（153例），比较两组患者的手术时间、术中出血量、膀胱引流时间、膀胱冲洗时间、国际前列腺症状评分（ IPSS ）、最大尿流率（ Qmax）、生活质量评分（ QOL）、膀胱残余尿量（ RUV）及并发症的发生情况等。结果 TUVRP组术中出血量低于OP组，术后膀胱引流时间、膀胱冲洗时间、术后住院时间均短于OP组（P＜0．01）；手术时间TUVRP组长于OP组（P＜0．01）；两组患者手术后IPSS、QOL评分均显著降低（P＜0．01），Qmax增大（P＜0．01），RUV显著降低（ P＜0．01），但组间比较差异无统计学意义（ P ＞0．05）；TUVRP 组并发症的发生率（14．74％）低于 OP 组（31．37％）（P＜0．01）。结论与传统OP相比，TUVRP治疗重度BPH具有操作简便、术中出血少、并发症少、术后恢复快、手术安全性高等优点。
목적：비교경뇨도기화전절술（TUVRP）화개방성수술（OP）치료중도량성전렬선증생（BPH）적림상료효。방법장중도BPH환자309례안수궤수자표법분위TUVRP조（156례）화OP조（153례），비교량조환자적수술시간、술중출혈량、방광인류시간、방광충세시간、국제전렬선증상평분（ IPSS ）、최대뇨류솔（ Qmax）、생활질량평분（ QOL）、방광잔여뇨량（ RUV）급병발증적발생정황등。결과 TUVRP조술중출혈량저우OP조，술후방광인류시간、방광충세시간、술후주원시간균단우OP조（P＜0．01）；수술시간TUVRP조장우OP조（P＜0．01）；량조환자수술후IPSS、QOL평분균현저강저（P＜0．01），Qmax증대（P＜0．01），RUV현저강저（ P＜0．01），단조간비교차이무통계학의의（ P ＞0．05）；TUVRP 조병발증적발생솔（14．74％）저우 OP 조（31．37％）（P＜0．01）。결론여전통OP상비，TUVRP치료중도BPH구유조작간편、술중출혈소、병발증소、술후회복쾌、수술안전성고등우점。
Objective To compare the therapeutic effects of transurethral vaporazation of prostate (TUVRP) and the open prostatectomy(OP) for the treatments of severe benign prostatic hyperplasia (BPH).Methods Three hundred and nine patients with severe BPH were randomly divided into TUVRP group (n=156) and OP group(n=153).The operation time,intraoperative bleeding amount , bladder drainage time , bladder irrigation time , international prostate symptom score (IPSS),maximum urinary flow rate (Qmax),associated quality-of-life(QOL) score and postroid residual volunme ( RUV) were compared between two groups .Results The TUVRP group was better in the intraoperative bleeding amount,bladder drainage time,bladder irrigation time and postoperation hospital stay compared with OP group (P<0.01). The operation time of TUVRP group was more than that of OP group (P<0.01).After operation,the IPSS scores and QOL scores decreased significantly in both group (P <0.01),and Qmax increased significantly (P <0.01) while RUV decreased significantly(P <0.01),but they showed no significant difference between two groups (P >0.05).The incidence of complications of TUVRP group was lower than that of OP group (14.74%vs 31.37%,P<0.01).Conclusion Comparing with traditional open surgery , TUVRP for severe benign prostatic hyperplasia has the advantages of simple operation,less blood loss during operation ,less postoperative complications ,shorter postoperative urinary catheter indwelling time,better recovery after treatment and high safety .