CAJ | 학술논문

[目的]比较经尿道前列腺腔内剜除术联合膀胱小切口与经尿道前列腺电切术（TURP）联合弹道碎石两种方法治疗重度前列腺增生合并膀胱结石的效果。[方法]采用经尿道前列腺腔内剜除术联合膀胱小切口治疗重度前列腺增生并膀胱结石32例（观察组），TURP 联合弹道碎石治疗29例（对照组）。比较两组手术时间、术中出血量、住院天数，术前术后国际前列腺症状评分（IPSS）、生活质量评分（QOL）、剩余尿量（PVR）、最大尿流率（Qmax）以及手术情况。[结果]观察组手术时间、术中出血量及术后住院天数均显著少于对照组（P 均＜0．05），两组术前 IPSS、QOL、PVR、Qmax 比较无显著性差异（P 均＞0．05），术后两组 IPSS、QOL、PVR、Qmax 均显著较本组术前改善（P ＜0．01），观察组 IPSS、PVR 、Qmax 3项指标改善更为明显并显著优于对照组（P ＜0．05）。QOL 评分两组无显著性差异（P ＞0．05）。[结论]经尿道前列腺腔内剜除术联合膀胱小切口术更适合重度前列腺增生合并膀胱结石患者。
[목적]비교경뇨도전렬선강내완제술연합방광소절구여경뇨도전렬선전절술（TURP）연합탄도쇄석량충방법치료중도전렬선증생합병방광결석적효과。[방법]채용경뇨도전렬선강내완제술연합방광소절구치료중도전렬선증생병방광결석32례（관찰조），TURP 연합탄도쇄석치료29례（대조조）。비교량조수술시간、술중출혈량、주원천수，술전술후국제전렬선증상평분（IPSS）、생활질량평분（QOL）、잉여뇨량（PVR）、최대뇨류솔（Qmax）이급수술정황。[결과]관찰조수술시간、술중출혈량급술후주원천수균현저소우대조조（P 균＜0．05），량조술전 IPSS、QOL、PVR、Qmax 비교무현저성차이（P 균＞0．05），술후량조 IPSS、QOL、PVR、Qmax 균현저교본조술전개선（P ＜0．01），관찰조 IPSS、PVR 、Qmax 3항지표개선경위명현병현저우우대조조（P ＜0．05）。QOL 평분량조무현저성차이（P ＞0．05）。[결론]경뇨도전렬선강내완제술연합방광소절구술경괄합중도전렬선증생합병방광결석환자。
[Objective]To compare the efficacy of transurethral enucleation of prostate cavity combined with transurethral prostatic resection(TURP)via small incision of bladder vs.TURP combined with pneumat-ic ballistic lithotripsy for the treatment of severe prostatic hyperplasia complicated with bladder calculi.[Meth-ods]A total of 32 patients(observation group)underwent transurethral enucleation of prostate cavity combined with TURP via small incision of bladder,while 29 patients underwent TURP combined with ballistic lithotrip-sy(control group).The operation time,hospitalization day,preoperative and postoperative international pros-tate symptom score(IPSS),quality of life(QOL),residual urine volume(PVR),maximum urinary flow rate (Qmax)and surgery situation were compared between two groups.[Results]The operation time,intraopera-tive blood loss and postoperative hospitalization day in observation group were markedly less than those in con-trol group(P <0.05).There was no significant difference in preoperative IPSS,QOL,PVR and Qmax be-tween two groups(all P >0.05).Compared with before operation,the postoperative IPSS,QOL,PVR and Qmax in two groups after operation were significantly improved(P <0.01).The improvement of IPSS,PVR and Qmax in observation group was obviously better than control group(P <0.05).There was no significant difference in QOL score between two groups(P >0.05).[Conclusion]Transurethral enucleation of prostate cavity combined with TURP via small incision of bladder is more suitable to treat the patients with severe pros-tatic hyperplasia and bladder calculi.