CAJ | 학술논문

目的：比较经尿道前列腺等离子电切术（TUPKRP）与经尿道前列腺电切术（TURP）治疗良性前列腺增生（BPH）的疗效指标，探讨两种术式的临床疗效。方法回顾性分析2011年1月～2013年6月在本院TUPKRP和TURP治疗的良性前列腺增生的病例资料96例，TUPKP组46例，TURP组50例。通过对两组手术所需时间长短、手术期间出血量大小、切除质量、术后膀胱清洗时间、手术并发症和手术前后3个月的前列腺症状评分、最大尿流率和生活质量进行评分。结果 TUPKRP组手术时间、术中出血量、术后冲洗时间和并发症的发生率明显低于TURP组，前列腺切除质量高于TURP组，差异具有统计学意义（P＜O.05）；术后3项指标I-PSS、Qmax、QOL都较手术前有明显改善，两者差别无统计学意义（P＞0.05）。结论TUPKRP与TURP治疗BPH的疗效相近，但TUPKRP平均手术时间短、术中出血量少、并发症发生率低，具有良好的应用前景。
목적：비교경뇨도전렬선등리자전절술（TUPKRP）여경뇨도전렬선전절술（TURP）치료량성전렬선증생（BPH）적료효지표，탐토량충술식적림상료효。방법회고성분석2011년1월～2013년6월재본원TUPKRP화TURP치료적량성전렬선증생적병례자료96례，TUPKP조46례，TURP조50례。통과대량조수술소수시간장단、수술기간출혈량대소、절제질량、술후방광청세시간、수술병발증화수술전후3개월적전렬선증상평분、최대뇨류솔화생활질량진행평분。결과 TUPKRP조수술시간、술중출혈량、술후충세시간화병발증적발생솔명현저우TURP조，전렬선절제질량고우TURP조，차이구유통계학의의（P＜O.05）；술후3항지표I-PSS、Qmax、QOL도교수술전유명현개선，량자차별무통계학의의（P＞0.05）。결론TUPKRP여TURP치료BPH적료효상근，단TUPKRP평균수술시간단、술중출혈량소、병발증발생솔저，구유량호적응용전경。
Objective To compare the clinical efficiency between transurethral plasma kinetic resection of the prostate(TUPKRP) and common transurethral resection of the prostate(TURP) for benign prostatic hyperplasia(BPH). Methods A total of 96 patients with BPH were enrolled from January 2011 to June 2013 and divided into TUPKRP group(46 cases) and TURP group(50 cases). The opration time,blood loss, resected tissue weight, postoperative washing time of bladder and operative complications were compared between two groups. Postoperative parameters, for example,we can see that the international level was complex. Results Operating time, intraoperative blood loss, postoperative washing time of bladder and postoperative morbidity rate were significantly lower in the TUPKRP group, resected tissue weight was significantly higher in the TUPKRP group, I-PSS, QQL and Qmax were significantly improved after the operation(P<0.05), in the other side it did not have any significance in the two groups(P>0.05). Conclusion TUPKRP and TURP have similar efficacy in the treatment of BPH.Because of its less operating time, less blood loss,lower postoperative morbidity rate,TUPKRP has a good prospect.