CAJ | 학술논문

目的：对复发性前列腺增生行经尿道逆行腔内剜除双极等离子体电切术的方法及其临床效果进行分析和探讨。方法对90例在本院进行经尿道前列腺电切术(TURP)治疗的复发性前列腺增生患者行经尿道逆行腔内剜除双极等离子体电切治疗,手术结束6个月后,对患者手术前以及手术后的生活质量(QOL)、前列腺特异抗原(PSA)、最大尿流率(Qmax)、残余尿量(PVR)以及国际前列腺症状评分(IPSS)进行评价和比较。结果90例患者均顺利完成手术,术后暂时性尿失禁患者3例,6个月后均恢复正常；术后6个月患者的QOL、Qmax和IPSS均有明显升高, PSA和PVR均有明显下降,与术前相比差异具有统计学意义(P<0.05)。结论经尿道逆行腔内剜除双极等离子体电切术应用于复发性前列腺增生的治疗中是一种可行性方法,具有较好的疗效,建议在临床上推广应用。
목적：대복발성전렬선증생행경뇨도역행강내완제쌍겁등리자체전절술적방법급기림상효과진행분석화탐토。방법대90례재본원진행경뇨도전렬선전절술(TURP)치료적복발성전렬선증생환자행경뇨도역행강내완제쌍겁등리자체전절치료,수술결속6개월후,대환자수술전이급수술후적생활질량(QOL)、전렬선특이항원(PSA)、최대뇨류솔(Qmax)、잔여뇨량(PVR)이급국제전렬선증상평분(IPSS)진행평개화비교。결과90례환자균순리완성수술,술후잠시성뇨실금환자3례,6개월후균회복정상；술후6개월환자적QOL、Qmax화IPSS균유명현승고, PSA화PVR균유명현하강,여술전상비차이구유통계학의의(P<0.05)。결론경뇨도역행강내완제쌍겁등리자체전절술응용우복발성전렬선증생적치료중시일충가행성방법,구유교호적료효,건의재림상상추엄응용。
Objective To analyze and investigate the method and clinical effect of transurethral retrograde cavity enucleation bipolar plasma electrocision for recurrent benign prostate hyperplasia.Methods Transurethral retrograde cavity enucleation bipolar plasma electrocision was applied for 90 patients with recurrent benign prostate hyperplasia after transurethral resection of the prostate (TURP). After 6 months, evaluation and comparison were made on quality of life (QOL), prostate specific antigen (PSA), maximum flow rate (Qmax), postvoid residual urine (PVR), and international prostate symptom score (IPSS) before and after operation.Results After all the 90 patients received successful operation, there were 3 cases of them had temporary incontinence, and they all recovered in 6 months. In 6 months after operation, all patients had obviously increased QOL, Qmax and IPSS, along with remarkably decreased PSA and PVR. These had statistically significant difference with those before operation (P<0.05).Conclusion Implement of transurethral retrograde cavity enucleation bipolar plasma electrocision is a feasible method with good effect for treating recurrent benign prostate hyperplasia. It is recommended for clinical promotion and application.