CAJ | 학술논문

目的：探讨治疗前列腺增生症（ BPH）并发巨大膀胱结石的有效方法。方法回顾分析34例采用经尿道等离子前列腺电切（ TPKRP）联合下腹部小切口膀胱切开取石术治疗BPH并发巨大膀胱结石的临床资料。结果全组34例均顺利完成手术，等离子前列腺电切50～108 min，平均72 min。耻骨上膀胱切开取石20～45 min，平均38 min。术中出血量约150～250 ml，平均215 ml，未出现严重并发症病例。随访2～24个月，术后国际前列腺症状评分（IPSS）平均6．6分，生活质量评分（QOL）平均1．8分，平均尿流率（AFR）13．8 ml／s。结论双极等离子电切联合下腹部小切口治疗BPH并发巨大膀胱结石是一种安全、高效、低费用的术式，适合基层医院推广应用。
목적：탐토치료전렬선증생증（ BPH）병발거대방광결석적유효방법。방법회고분석34례채용경뇨도등리자전렬선전절（ TPKRP）연합하복부소절구방광절개취석술치료BPH병발거대방광결석적림상자료。결과전조34례균순리완성수술，등리자전렬선전절50～108 min，평균72 min。치골상방광절개취석20～45 min，평균38 min。술중출혈량약150～250 ml，평균215 ml，미출현엄중병발증병례。수방2～24개월，술후국제전렬선증상평분（IPSS）평균6．6분，생활질량평분（QOL）평균1．8분，평균뇨류솔（AFR）13．8 ml／s。결론쌍겁등리자전절연합하복부소절구치료BPH병발거대방광결석시일충안전、고효、저비용적술식，괄합기층의원추엄응용。
Objective To explore the effective methods to treat benign prostatic hyperplasia (BPH) patients with huge bladder stones .Methods The data of 34 BPH patients with huge bladder stone who were treated by tran-surethral plasmakinetic resection of prostate ( TPKRP) combined with cystolithotomy via small incision on the lower abdomen were retrospectively analyzed .Results The operations were successfully completed in all 30 patients.TP-KRP time was 50~108 min, with a mean time of 72 min.The time of suprapubic bladder lithotomy 20~45 min, the mean time of 38 min.Intraoperative blood loss was about 150 ~250 ml, with an average 215 ml.There were no ca-ses of serious complications .The patients were followed up for 2 to 24 months.The average score of International Prostate Symptom Score(IPSS) was 6.6 points.The average score of quality of life (QOL) was 1.8 points.The aver-age flow rate( AFR) was 13.8 ml/s.Conclusion Bipolar plasmakinetic resection of prostate combined with cysto-lithotomy via small incision on lower abdomen in the treatment of BHP patients with huge bladder stones is a safe ,effi-cient and saving surgery , and is suitable for popularization and application in primary hospitals .