CAJ | 학술논문

目的：探讨经尿道前列腺电切术（TURP）治疗良性前列腺增生（BPH）伴膀胱逼尿肌收缩无力的效果及预测其疗效的尿动力学参数。方法对57例术前尿动力学检查提示膀胱出口梗阻并伴有逼尿肌收缩无力的BPH患者予以TURP治疗，观察术后患者的症状及排尿情况，并将术前尿动力学参数与术后的排尿后剩余尿量及最大尿流率之间的相关性进行分析。结果本组患者术后国际前列腺症状评分（IPSS）、生活质量评分（QoL）、最大尿流率（Qmax）、残余尿量（PVR）均有显著改善，术前与术后比较，差异有统计学意义（P＜0.05）。相对膀胱出口梗阻参数比膀胱出口梗阻指数、膀胱收缩指数与术后PVR及Qmax有更强的相关性。结论对合并逼尿肌收缩无力的BPH患者行TURP手术治疗，能取得良好的效果。相对膀胱出口梗阻参数比其它尿动力学参数对伴膀胱逼尿肌收缩无力的BPH患者的治疗抉择和疗效预测有更重要价值。
목적：탐토경뇨도전렬선전절술（TURP）치료량성전렬선증생（BPH）반방광핍뇨기수축무력적효과급예측기료효적뇨동역학삼수。방법대57례술전뇨동역학검사제시방광출구경조병반유핍뇨기수축무력적BPH환자여이TURP치료，관찰술후환자적증상급배뇨정황，병장술전뇨동역학삼수여술후적배뇨후잉여뇨량급최대뇨류솔지간적상관성진행분석。결과본조환자술후국제전렬선증상평분（IPSS）、생활질량평분（QoL）、최대뇨류솔（Qmax）、잔여뇨량（PVR）균유현저개선，술전여술후비교，차이유통계학의의（P＜0.05）。상대방광출구경조삼수비방광출구경조지수、방광수축지수여술후PVR급Qmax유경강적상관성。결론대합병핍뇨기수축무력적BPH환자행TURP수술치료，능취득량호적효과。상대방광출구경조삼수비기타뇨동역학삼수대반방광핍뇨기수축무력적BPH환자적치료결택화료효예측유경중요개치。
Objective To evaluate the efficacy of transurethra1 resection of the prostate (TURP) in patients with benign prostatic hyperplasia and detrusor underactivity , and explore the relationship between urodynamic praraneters and efficacy of TURP. Methods 57 BPH patients with bladder outlet obstruction and detrusor contractility were treated by TURP. Surgical outcome was observed during follow-up.The relationship between urodynamic parameters and postoperative PVR and Qmax with was assessed. Results There were the significant differences in IPSS, PVR, QoL,Qmax between the preoperative and the postoperative cases (P<0.05). The patients had significant surgical outcomes after TURP. The relationship between parameters of BOOI/BCI and postoperative PVR and Qmax was closer than the relationship between BOOI、BCI and PVR. Conclusion TURP shows a satisfactory outcome in the treatment of patients with BPH and detrusor underactivity.The parameters of relative bladder outlet obstruction reveal an important value in bladder emptying prediction and thus clinical application.