CAJ | 학술논문

目的探讨螺旋 CT 三维成像(CT3D)在经尿道前列腺扩裂术(TUPS)中应用价值.方法前列腺增生(BPH)患者20例,年龄65~86岁,中位年龄78岁;有排尿困难病史1.5~9年,中位数3年.患者术前、术终、术后10 d、术后1 年分别行 CT3D 检查,均采用 TUPS 手术治疗.结果20例患者均成功行 TUPS 手术治疗,无术中、术后大出血发生,无需要输血者.20例术前 CT3D 显示前列腺段尿道狭窄、闭塞;术终 CT3D 显示棒状水囊一部分位于前列腺尿道段,其余部分位于膀胱内;术后10d CT3D 显示前列腺段尿道呈漏斗状改变;术后一年排尿瞬间 CT3D 显示前列腺段尿道宽敞,排尿通畅连续.结论 CT3D 可以清晰显示前列腺段尿道及周围情况,对指导开展 TUPS 手术治疗 BPH 具有重要意义.
목적탐토라선 CT 삼유성상(CT3D)재경뇨도전렬선확렬술(TUPS)중응용개치.방법전렬선증생(BPH)환자20례,년령65~86세,중위년령78세;유배뇨곤난병사1.5~9년,중위수3년.환자술전、술종、술후10 d、술후1 년분별행 CT3D 검사,균채용 TUPS 수술치료.결과20례환자균성공행 TUPS 수술치료,무술중、술후대출혈발생,무수요수혈자.20례술전 CT3D 현시전렬선단뇨도협착、폐새;술종 CT3D 현시봉상수낭일부분위우전렬선뇨도단,기여부분위우방광내;술후10d CT3D 현시전렬선단뇨도정루두상개변;술후일년배뇨순간 CT3D 현시전렬선단뇨도관창,배뇨통창련속.결론 CT3D 가이청석현시전렬선단뇨도급주위정황,대지도개전 TUPS 수술치료 BPH 구유중요의의.
Objective To evaluate the applied value of multi-slice spiral CT three dimension imaging technique (CT3D) in the transurethral prostatic splitting operation(TUPS). Methods All patients with benign prostaic hyperplasia (BPH) underwent CT3D examination at the time before operation, operative termination, 10 days and 1 year after operation. The mean age of 20 patients was 78 years (rang,65`86years), disease course was 3 years(range,1.5~9years). All patients underwent TUPS procedures. Results 20 patients had TUPS successfully, andmo one suffered hemorrhage or needed blood transfusion. On CT3D, the prostatic urethra stenosis or occlude had been shown before operation, a part of clubbed water bag situated in prostatic urethra and other clubbed water bag situated in urinary bladder were demonstrated at operative termination, the funnel typal prostatic urethra at postoperative 10 days, and the spacious and through prostatic urethra at micturating process at postoperative 1 year. Conclusion Inner and peripheral circumstances of prostatic urethra can be clearly displayed using CT3D, which is helpful to improve the effect of TUPS for treatment of BPH.