CAJ | 학술논문

目的：：探讨经尿道前列腺电切术( TURP)治疗高危良性前列腺增生( BPH)的围手术期处理方法与经验。方法：回顾性分析65例行TURP的高危BPH患者的临床资料，比较手术前、后各项指标的差异。结果：65例患者均顺利耐受TURP并安全渡过围手术期，无死亡病例。术中未发生大出血及经尿道前列腺电切综合征，术后早期未出现肺部感染及肺栓塞等严重并发症。手术后12个月采用国际前列腺症状评分、生活质量评分、最大尿流率及残余尿量与手术前相比差异均具有统计学意义(P<0.05)。结论：术前针对不同BPH患者的高危因素进行个体化治疗，术中严密监测、规范操作、彻底止血以及术后完善细致的治疗是保证手术成功的关键。
목적：：탐토경뇨도전렬선전절술( TURP)치료고위량성전렬선증생( BPH)적위수술기처리방법여경험。방법：회고성분석65례행TURP적고위BPH환자적림상자료，비교수술전、후각항지표적차이。결과：65례환자균순리내수TURP병안전도과위수술기，무사망병례。술중미발생대출혈급경뇨도전렬선전절종합정，술후조기미출현폐부감염급폐전새등엄중병발증。수술후12개월채용국제전렬선증상평분、생활질량평분、최대뇨류솔급잔여뇨량여수술전상비차이균구유통계학의의(P<0.05)。결론：술전침대불동BPH환자적고위인소진행개체화치료，술중엄밀감측、규범조작、철저지혈이급술후완선세치적치료시보증수술성공적관건。
Objective:To investigate the perioperative treatment method and experience in high risk benign prostatic hyperplasia (BPH) patients treated with transurethral resection of prostate(TURP). Methods:The clinical data of 65 high-risk BPH patients treated with TURP were retrospectively analyzed. The differences of the indicators in all cases between before and after operation were compared. Results:Sixty-five patients successfully withstood the TURP,and security through the perioperative period. The death case, perioperative massive hemorrhage,transurethral resection syndrome,pulmonary infection and pulmonary embolism were not found. The differences of the International prostate symptom score,QOL,Qmax and residual urine volume between before operation and after 12 months of operation were statistically significant(P <0. 05). Conclusions:Individualized treatment,strict monitoring,standardize operation,thorough hemostasis and postoperatively comprehensive treatment are all important to ensure the success of operation.