CAJ | 학술논문

目的探讨经尿道前列腺切除术(TURP)切除大前列腺增生的安全性和临床疗效.方法回顾性分析TURP手术切除腺体组织≥40g的前列腺增生患者56例的临床过程. 结果 56例患者平均切除前列腺组织62.4 g(48～122 g),切除率为60％,手术时间113.4 min (70～180min).患者术后下尿路症状明显改善,38例患者国际前列腺症状评分(IPSS)由术前(25.6±1.5)分降至术后(6.0±2.0)分；22例患者最大尿流率由术前(5.0±1.9) ml/s升至术后(18.0±4.5)ml/s,剩余尿量由术前95 ml(40～250 ml)减少至术后10 ml(0～60 ml). 结论熟练的TURP技术治疗腺体组织≥40 g大前列腺增生患者的效果良好,并发症可接受,是一种安全的手术治疗选择.
목적 탐토경뇨도전렬선절제술(TURP)절제대전렬선증생적안전성화림상료효.방법 회고성분석TURP수술절제선체조직≥40g적전렬선증생환자56례적림상과정. 결과 56례환자평균절제전렬선조직62.4 g(48～122 g),절제솔위60％,수술시간113.4 min (70～180min).환자술후하뇨로증상명현개선,38례환자국제전렬선증상평분(IPSS)유술전(25.6±1.5)분강지술후(6.0±2.0)분；22례환자최대뇨류솔유술전(5.0±1.9) ml/s승지술후(18.0±4.5)ml/s,잉여뇨량유술전95 ml(40～250 ml)감소지술후10 ml(0～60 ml). 결론 숙련적TURP기술치료선체조직≥40 g대전렬선증생환자적효과량호,병발증가접수,시일충안전적수술치료선택.
Objective To explore the safety and effectiveness of transurethral resection of the prostate (TURP) for large benign prostatic hyperplasia.Methods A total of 56 cases of patients with large benign prostatic hyperplasia were analyzed retrospectively.Results The weight of prostate tissue resected with TURP was 60.2 g (48-122 g).The resection rate was 60％,operation time 113.4 min (70-180 min).The lower urinary tract symptoms (LUTS) after TURP was improved significantly.The international prostate symptom scores (IPSS) of 38 cases were decreased from (25.6±1.5) before operation to (6.0± 2.0) after operation.The maximum urine flow rate were increased from (5.0±1.9) ml/s to (18.0±4.5) ml/s.The mean residual urine volume of 22 cases were reduced from 95 ml (40-250 ml) to 10 ml (0-60 ml).Conclusions Skilled TURP technology for large benign prostatic hyperplasia is a safe treatment with good effect and low complications rates.