CAJ | 학술논문

目的评估铥激光剥橘式前列腺切除术(TmLRP-TT)治疗良性前列腺增生症(BPH)的长期疗效与远期并发症.方法 2004年11月至2009年12月,对348例于上海市第一人民医院行TmLRP-TT的BPH患者进行回顾性研究,随访患者术后长期疗效,内容包括前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)、残余尿量(PVR),记录并分析术后远期并发症.结果手术4年后患者IPSS、QOL、Qmax、PVR均显著改善.相比术前,IPSS下降了70％(22.7±7.7与6.8±5.1),QOL评分下降了65％(4.3±0.7与1.5±1.0),PVR下降了83％(104.7 ±34.3)ml与(17.7±10.7)ml,Qmax提高了212％ (6.0±2.6)ml/s与(18.7±4.6)ml/s.术后累积远期并发症发生率6.0％(21/348).其中1.2％(4/348)的患者因BPH复发再次行TmLRP-TT,尿道狭窄和膀胱颈部挛缩的发生率分别为2.3％(8/348)及2.6％ (9/348).患者对手术效果总体满意率为93％.结论 TmLRP-TT治疗BPH疗效持久,远期并发症少,手术效果令人满意.
목적 평고주격광박귤식전렬선절제술(TmLRP-TT)치료량성전렬선증생증(BPH)적장기료효여원기병발증.방법 2004년11월지2009년12월,대348례우상해시제일인민의원행TmLRP-TT적BPH환자진행회고성연구,수방환자술후장기료효,내용포괄전렬선증상평분(IPSS)、생활질량평분(QOL)、최대뇨류솔(Qmax)、잔여뇨량(PVR),기록병분석술후원기병발증.결과 수술4년후환자IPSS、QOL、Qmax、PVR균현저개선.상비술전,IPSS하강료70％(22.7±7.7여6.8±5.1),QOL평분하강료65％(4.3±0.7여1.5±1.0),PVR하강료83％(104.7 ±34.3)ml여(17.7±10.7)ml,Qmax제고료212％ (6.0±2.6)ml/s여(18.7±4.6)ml/s.술후루적원기병발증발생솔6.0％(21/348).기중1.2％(4/348)적환자인BPH복발재차행TmLRP-TT,뇨도협착화방광경부련축적발생솔분별위2.3％(8/348)급2.6％ (9/348).환자대수술효과총체만의솔위93％.결론 TmLRP-TT치료BPH료효지구,원기병발증소,수술효과령인만의.
Objective To evaluate the long-term efficacies and complications of thulium laser resection of prostate-tangerine technique (TmLRP-TT) in the treatment of benign prostatic hyperplasia (BPH).Methods From November 2004 to December 2009,a total of 348 BPH patients undergoing TmLRP-TT at our hospital were evaluated retrospectively for long-term efficacies and complications.The follow-up data included international prostate symptom score (IPSS),quality of life score (QOL),maximum urinary flow (Qmax) and postvoid urinary residual (PVR).Results After 4 years,IPSS decreased 70％(22.7 ±7.7 vs 6.8 ±5.1),QOL decreased 65％ (4.3 ±0.7 vs 1.5 ± 1.0),Qmax increased 212％ (6.0 ± 2.6 ml/s vs 18.7 ±4.6 ml/s) and PVR decreased 83％ (104.7 ±34.3 ml vs 17.7 ± 10.7 ml).Cumulative incidences of long-term complications was 6.0％ (n =21),including a second TmLRP-TF due to BPH recurrence (n =4,1.2％),urethral stricture (n =8,2.3％) and bladder neck contracture (n =9,2.6％).Overall,93％ were satisfied with surgical outcomes.Conclusion TmLRP-TT has excellent efficacies with a low rate of long-term complications.Most patients are satisfied with surgical outcomes.