CAJ | 학술논문

目的：分析经尿道等离子双极电切术治疗良性前列腺增生的402个案例。方法对我院2009年8月至2013年9月期间收治的402例良性前列腺增生患者接受经尿道等离子双极电切术治疗的案例进行回顾性分析，术后随访6个月并记录国际前列腺症状评分（IPSS）、生活质量评分（QOL）、最大尿流率（Qmax）和残余尿量（RUV）的变化。结果本组患者经尿道等离子电切术治疗前列腺增生均获成功，术中、术后无输血病例，无电切综合征发生。随访6个月，IPSS、QOL评分较术前明显降低，Qmax较术前明显增加，RUV也较术前明显降低。结论经尿道等离子电切术该术是一种安全、有效的微创手术方式，具有创伤小、出血少、术后恢复快等优点，值得临床推广应用。
목적：분석경뇨도등리자쌍겁전절술치료량성전렬선증생적402개안례。방법대아원2009년8월지2013년9월기간수치적402례량성전렬선증생환자접수경뇨도등리자쌍겁전절술치료적안례진행회고성분석，술후수방6개월병기록국제전렬선증상평분（IPSS）、생활질량평분（QOL）、최대뇨류솔（Qmax）화잔여뇨량（RUV）적변화。결과본조환자경뇨도등리자전절술치료전렬선증생균획성공，술중、술후무수혈병례，무전절종합정발생。수방6개월，IPSS、QOL평분교술전명현강저，Qmax교술전명현증가，RUV야교술전명현강저。결론경뇨도등리자전절술해술시일충안전、유효적미창수술방식，구유창상소、출혈소、술후회복쾌등우점，치득림상추엄응용。
Objectives To analyze 402 cases of transurethral bipolarplasmakinetic resection of prostate (PKRP) to treat benign prostatic hyperplasia. Methods 402 cases of prostatic hyperplasia patients who received PKRP from Aug, 2009 to Sep, 2013 in our hospital were retrospectively analyzed. Follow-up visit was carried out and the changes of IPSS, QOL, Qmax and RUV were recorded. Results All the patients were treated successfully by PKRP. No blood transfusion occurred in or after the operations. No transurethral resection syndrome occurred. Follow-up visit results showed that the marks of IPSS and QOL were obviously lower than the preoperative ones. Qmax was obviously higher than the preoperative one. RUV was also obviously lower. Conclusions Transurethral plasma kinetic resection is a safe and effective minimally invasive surgery, which has advantages of a less trauma, less bleeding andquick postoperative recovery of the advantages. It is worthy of clinical application.