CAJ | 학술논문

目的：比较腔内分部剜切术与经尿道前列腺等离子双极电切术（TUPKP）治疗良性前列腺增生症（BPH）的安全性和疗效。方法收集 BPH 手术患者285例，分别行腔内分部剜切术（165例）与 TUPKP（120例）。分析两组患者的手术时间、术中失血量、术后冲洗时间；比较两组手术患者术前、术后（第1天）血红蛋白及红细胞压积，记录两组手术短期并发症发生率；术前及术后（3个月）测定最大尿流率（Qmax）和残余尿量（RUV），记录术前、术后国际前列腺症状评分（IPSS）及生活质量（QOL）评分并给予比较。结果分部剜切组平均手术时间[（66．5±10．0）min]与TUPKP 组[（65．4±10．1）min]差异无统计学意义；在术中失血量、术后冲洗时间方面，分部剜切组较 TUPKP 组比较有统计学意义。结论腔内分部剜切术具有可操作性强、术中出血少、术后冲洗时间短及术后尿失禁发生率低等优点，是治疗 BPH 患者安全、有效的手术方式之一。
목적：비교강내분부완절술여경뇨도전렬선등리자쌍겁전절술（TUPKP）치료량성전렬선증생증（BPH）적안전성화료효。방법수집 BPH 수술환자285례，분별행강내분부완절술（165례）여 TUPKP（120례）。분석량조환자적수술시간、술중실혈량、술후충세시간；비교량조수술환자술전、술후（제1천）혈홍단백급홍세포압적，기록량조수술단기병발증발생솔；술전급술후（3개월）측정최대뇨류솔（Qmax）화잔여뇨량（RUV），기록술전、술후국제전렬선증상평분（IPSS）급생활질량（QOL）평분병급여비교。결과분부완절조평균수술시간[（66．5±10．0）min]여TUPKP 조[（65．4±10．1）min]차이무통계학의의；재술중실혈량、술후충세시간방면，분부완절조교 TUPKP 조비교유통계학의의。결론강내분부완절술구유가조작성강、술중출혈소、술후충세시간단급술후뇨실금발생솔저등우점，시치료 BPH 환자안전、유효적수술방식지일。
Objective To compare the therapeutic efficacy of divided transurethral enucleation of the prostate with bipolar transurethral plasmakinetic prostatectomy(TUPKP)on prostate hyperplasia.Meth-ods A total of 285 benign prostate hyperplasia(BPH)cases were treated with divided transurethral enu-cleation(165 cases)and TUPKP(120 cases)separately.The operation time,blood loss,postoperative flush time were analyzed.Preoperative and postoperative(the first postoperative day)hemoglobin and hematokrit were compared and short-term complications were recorded.Preoperative and postoperative(the third post-operative month)maximum flow rate(Qmax)and residual urine volume(RUV),and postoperative IPSS and QOL scores were measured for comparison.Results There were no significant differences in average oper-ation time between the divided enucleation group and TUPKP group.But the divided enucleation group was superior to TUPKP group on blood loss and flush time.Conclusion Divided transurethral enucleation of the prostate is a safe,effective procedure for BPH,and has advantages of operability,less bleeding,short postoperative flush time and low incidence of postoperative incontinence.