CAJ | 학술논문

目的：采用TUPKVP联合TUIBN术治疗小体积BPH所致的BOO的临床疗效。方法：选择2009年6月-2012年6月我院收治的单纯小体积BPH致BOO患者56例，入院先后1∶1比例随机分TURP组28例，采用TURP联合TUIBN手术治疗；TUPKVP组28例，采用TUPKVP联合TUIBN手术治疗，比较两组手术时间、术中出血量、切除组织重量、灌洗液量、留置尿管时间、近期并发症，术前与术后3个月 IPSS、QOL、PVR、Qmax。结果：TUPKVP组手术时间、术后置管时间较TURP组明显缩短，术中出血量、灌洗液量明显减少（P＜0．05）；两组灌洗液量及置管时间、近期并发症发生率无明显差异（P＞0．05）；两组患者术后3个月的Qmax、PRV、IPSS评分、QOL评分较同组术前明显改善（P＜0．05）；TUPKVP组患者术后3个月Qmax、PRV、IPSS评分、QOL评分的改善程度较 TURP组明显。结论：TUPKVP联合TUIBN术治疗小体积BPH所致的BOO ，安全性高，临床效果极佳，且操作简便，可作为小体积BPH所致的BOO首选方法。
목적：채용TUPKVP연합TUIBN술치료소체적BPH소치적BOO적림상료효。방법：선택2009년6월-2012년6월아원수치적단순소체적BPH치BOO환자56례，입원선후1∶1비례수궤분TURP조28례，채용TURP연합TUIBN수술치료；TUPKVP조28례，채용TUPKVP연합TUIBN수술치료，비교량조수술시간、술중출혈량、절제조직중량、관세액량、류치뇨관시간、근기병발증，술전여술후3개월 IPSS、QOL、PVR、Qmax。결과：TUPKVP조수술시간、술후치관시간교TURP조명현축단，술중출혈량、관세액량명현감소（P＜0．05）；량조관세액량급치관시간、근기병발증발생솔무명현차이（P＞0．05）；량조환자술후3개월적Qmax、PRV、IPSS평분、QOL평분교동조술전명현개선（P＜0．05）；TUPKVP조환자술후3개월Qmax、PRV、IPSS평분、QOL평분적개선정도교 TURP조명현。결론：TUPKVP연합TUIBN술치료소체적BPH소치적BOO ，안전성고，림상효과겁가，차조작간편，가작위소체적BPH소치적BOO수선방법。
Objective :To investigate the clinical efficacy of reating small BPH with BOO by TUPKVP combined with TUIBN .Methods :56 cases of patients with BPH with BOO in our hospital between June 2009 and June 2012 were se-lected and randomly divided into TURP group there was 28 cases ,using TURP and TUIBN operation ;TUPKVP group there was 28 cases ,using TUPKVP combined with TUIBN operation ,the operation time ,bleeding during operation , weight of resected tissue ,lavage fluid volume ,indwelling catheter time ,complications ,preoperative and postoperative 3 months’ IPSS ,QOL ,PVR ,Qmax of two groups were compared .Results:The operation time ,postoperative catheter time of TUPKVP group were shorter than TURP group ,the bleeding during operation and lavage fluid volume were significantly reduced (P<0 .05);two groups’ lavage fluid volume and indwelling time ,complications had no significant difference (P>0 .05);two groups’postoperative 3 month’s Qmax ,PRV ,IPSS score ,QOL score were higher than that in the same group(P<0 .05);TUPKVP group’s Qmax ,PRV ,IPSS score ,QOL score were higher than that of TURP group .Conclusion:Treating small BPH with BOO by TUPKVP combined with TUIBN has high safety ,its clinical effect is good ,and its operation is simple ,it can be used as preferred method for small volume of BPH with BOO.