CAJ | 학술논문

目的探讨经尿道等离子体双极汽化电切术(PKRP)治疗高龄高危前列腺增生症(BPH)患者的安全性及策略.方法自2003年9月至2011年12月共248例高龄高危良性前列腺增生症患者行经尿道等离子体双极汽化电切术(PKRP),术前进行风险评估及充分准备,改进手术操作技巧,提高围手术期安全.结果手术时间30～ 100min,平均70min;切除前列腺组织重45 ～ 110g,平均55g.术中出血少,无输血.248例患者均安全渡过围手术期,无电切综合征(TURS)和真性尿失禁等严重并发症.早期暂时性尿失禁18例,经口服“酒石酸托特罗定片”和提肛训练1～3周恢复.所有患者随访6个月以上,排尿症状消失或明显改善.结论经尿道等离子体双极汽化电切术(PKRP)仍是治疗高龄高危前列腺增生症患者安全、有效的方法.
목적 탐토경뇨도등리자체쌍겁기화전절술(PKRP)치료고령고위전렬선증생증(BPH)환자적안전성급책략.방법 자2003년9월지2011년12월공248례고령고위량성전렬선증생증환자행경뇨도등리자체쌍겁기화전절술(PKRP),술전진행풍험평고급충분준비,개진수술조작기교,제고위수술기안전.결과 수술시간30～ 100min,평균70min;절제전렬선조직중45 ～ 110g,평균55g.술중출혈소,무수혈.248례환자균안전도과위수술기,무전절종합정(TURS)화진성뇨실금등엄중병발증.조기잠시성뇨실금18례,경구복“주석산탁특라정편”화제항훈련1～3주회복.소유환자수방6개월이상,배뇨증상소실혹명현개선.결론 경뇨도등리자체쌍겁기화전절술(PKRP)잉시치료고령고위전렬선증생증환자안전、유효적방법.
Objectives To investigate the safety and tactics of transurethal plasmakinetic resection of prostate(PKRP)in treatment of advanced age and h(i)gh risk patients with prostatic hyperplasia.Methods From September 2003 to December 2011,PKRP was performed on 248 advanced age and high risk patients of prostatic hyperplasia.Adequate preoperative preparation and risk evaluation and improvement of the operation skills are important for enhancement of preoperative safety.Results Operation time were from 30 ～ 100min(average 70min)and 45～ 110g(average 55g)of prostate tissue were resected with less bleeding.All the 248 cases rode out perioperative period safely without complications of transurethral resection syndrome(TURS)and real urinary incontinence.18 cases of early transient urinary incontinence recovered through oral administration of Tartaric acid tot of Luoding and 1 ～ 3weeks of anal sphincter contracting exercises.all patients recover or partially recover from urination disorder during 6+ months follow-up.Conclusions PKRP is a safe and effective means for treatment of prostatic hyperplasia for advanced age and high risk patients.