CAJ | 학술논문

　　目的比较分析经尿道前列腺电切术（TURP）与2μm（铥）激光前列腺汽化切除术（TmLRP）的并发症。方法分别用TURP及TmLRP治疗良性前列腺增生症（BPH）患者114例（TURP组）和82例（TmLRP组）。两组患者年龄、前列腺体积差异无统计学意义（均P＞0.05）。比较分析采用两种术式发生术中电切综合征、包膜破裂及术后严重膀胱痉挛、急性附睾炎、尿失禁、勃起功能障碍等并发症情况。结果 TmLRP组术中发生电切综合征、包膜破裂等并发症明显少于TURP组（P＜0.05）。术后1周内，TmLRP组发生严重膀胱痉挛、急性附睾炎并发症明显少于TURP组（P＜0.05）；术后1周～1个月内，TmLRP组发生术后继发性出血、严重膀胱刺激征、腺体残留导致排尿困难并发症明显少于TURP组（P＜0.05）；术后1～3个月内，TmLRP组发生尿失禁明显少于TURP组（P＜0.05）；术后3～6个月内，TmLRP组发生勃起功能障碍明显少于TURP组（P＜0.05）。结论 TmLRP组术中及术后并发症明显少于TURP组，是一种安全有效的手术方式。
　　목적비교분석경뇨도전렬선전절술（TURP）여2μm（주）격광전렬선기화절제술（TmLRP）적병발증。방법분별용TURP급TmLRP치료량성전렬선증생증（BPH）환자114례（TURP조）화82례（TmLRP조）。량조환자년령、전렬선체적차이무통계학의의（균P＞0.05）。비교분석채용량충술식발생술중전절종합정、포막파렬급술후엄중방광경련、급성부고염、뇨실금、발기공능장애등병발증정황。결과 TmLRP조술중발생전절종합정、포막파렬등병발증명현소우TURP조（P＜0.05）。술후1주내，TmLRP조발생엄중방광경련、급성부고염병발증명현소우TURP조（P＜0.05）；술후1주～1개월내，TmLRP조발생술후계발성출혈、엄중방광자격정、선체잔류도치배뇨곤난병발증명현소우TURP조（P＜0.05）；술후1～3개월내，TmLRP조발생뇨실금명현소우TURP조（P＜0.05）；술후3～6개월내，TmLRP조발생발기공능장애명현소우TURP조（P＜0.05）。결론 TmLRP조술중급술후병발증명현소우TURP조，시일충안전유효적수술방식。
Objective To compare and analyze the complications of transurethral resection of the prostate (TURP) vs two-micron (thulium) laser vaporesection of the prostate (TmLRP). Methods A total of 196 benigh prostatic hyperplasia (BPH) patients who were treated with TURP (n=114) and TmLRP (n=82) respectively in our department from January 2010 to October 2012 were enrolled in this study. The two groups had no significant difference in age and prostate volume (P>0.05). The intra-operative complications, such as transurethral resection syndrome and capsular rupture, and the post-operative complications, including severe cystospasm, acute epididymitis, urinary incontinence, and erectile dysfunction were compared and analyzed between the two groups. Results The incidences of intra-operative transurethral resection syndrome and capsular rupture were obviously less in TmLRP group than in TURP group (P<0.05). Within one week after operation, TmLRP group had obviously less incidences of severe bladder spasm and acute epididymitis than TURP group (P<0.05). Within one week to one month after operation, secondary hemorrhage, severe bladder irritation, and dysuria due to residual prostate tissue were more common in TURP group than in TmLRP group (P<0.05). Within one to three months after operation, group TmLRP had less urinary incontinence than TURP group (P<0.05). Within three months to six months after operation, there were obviously less erectile dysfunction occurred in TmLRP group than in TURP group (P<0.05). Conclusion TmLRP results in significantly less intra-operative and post-operative complications than TURP, and it is a safe and efficient approach for the treatment of BPH.