CAJ | 학술논문

目的探讨经尿道前列腺电切术(TURP)治疗大体积前列腺增生的疗效并分享临床体会.方法回顾性分析本院采用TURP手术治疗45例前列腺重量超过100g的前列腺增生患者的临床资料并总结手术经验.结果 45例患者手术均获成功,IPSS评分由术前27.3±2.7降为9.5±3.3,QOL评分由5.2±0.7降为1.8±0.9,Qmax由6.4±1.4mL/s上升为16.1±2.8mL/s,PVR由128±63.2mL降为38.4±16.3mL.随访时间6～18个月,平均12个月.结论 TURP治疗大前列腺是安全有效的,术者对解剖结构的熟悉程度、手术操作的精细程度是减少手术损伤和术后并发症的关键.
목적 탐토경뇨도전렬선전절술(TURP)치료대체적전렬선증생적료효병분향림상체회.방법 회고성분석본원채용TURP수술치료45례전렬선중량초과100g적전렬선증생환자적림상자료병총결수술경험.결과 45례환자수술균획성공,IPSS평분유술전27.3±2.7강위9.5±3.3,QOL평분유5.2±0.7강위1.8±0.9,Qmax유6.4±1.4mL/s상승위16.1±2.8mL/s,PVR유128±63.2mL강위38.4±16.3mL.수방시간6～18개월,평균12개월.결론 TURP치료대전렬선시안전유효적,술자대해부결구적숙실정도、수술조작적정세정도시감소수술손상화술후병발증적관건.
Objectives To investigate the clinical effect of transurethral resection of prostate (TURP) for voluminous benign prostatic hyperplasia (BPH) and share the clinical experience.Methods The clinical data of 45 patients with prostates larger than 100g in our hospital were analyzed retrospectively who received TURP,simultaneously the operative experience was summarized.Results All the 45 patients got successful surgical outcomes,IPSS decreased from 27.3 ± 2.7 to 9.5 ± 3.3,QOL decreased from 5.2 ± 0.7 to 1.8 ± 0.9,Qmax increased from 6.4 ± 1.4 ml/s to 16.1 ± 2.8 ml/s,and PVR decreased from 128 ± 63.2 ml to 38.4 ± 16.3ml.The patients were followed up from 6 to 18 months postoperatively,and the mean follow-up time was 12 months.Conclusions TURP is a safe and effective operation method for patients with voluminous BPH.The key to reduce operative damage and postoperative complications is the degree of familiarity with anatomic structure and the elaboration of operation technique.