CAJ | 학술논문

目的：总结探讨前列腺尖部推切法对经尿道前列腺切除术后尿失禁预防作用。方法回顾性总结本院2012年至2015年2月收治的82例前列腺增生症患者的临床资料及经尿道前列腺切除术（经前列腺尖部推切法）术后尿失禁的发生率（3个月～3年）随访结果。结果前列腺症状评估从术前（24．8±3．5）分降至（6．8±2．6）分。最大尿流率从术前（8．6±1．3）ml／s增加至术后（15．6±3．5）ml／s，术后暂时性尿失禁0例，永久性尿失禁0例，尿失禁发生率为0％。结论 TURP术中正确辨认精阜标志，防止尿道外括约肌损伤，正确处理精阜旁增生腺体组织是防止术后尿失禁的关键，而前列腺尖部推切法有效保护尿道外括约肌勿损伤，防止了因尿道外括约肌损伤发生的尿失禁。此方法值得在临床上大力推广使用。
목적：총결탐토전렬선첨부추절법대경뇨도전렬선절제술후뇨실금예방작용。방법회고성총결본원2012년지2015년2월수치적82례전렬선증생증환자적림상자료급경뇨도전렬선절제술（경전렬선첨부추절법）술후뇨실금적발생솔（3개월～3년）수방결과。결과전렬선증상평고종술전（24．8±3．5）분강지（6．8±2．6）분。최대뇨류솔종술전（8．6±1．3）ml／s증가지술후（15．6±3．5）ml／s，술후잠시성뇨실금0례，영구성뇨실금0례，뇨실금발생솔위0％。결론 TURP술중정학변인정부표지，방지뇨도외괄약기손상，정학처리정부방증생선체조직시방지술후뇨실금적관건，이전렬선첨부추절법유효보호뇨도외괄약기물손상，방지료인뇨도외괄약기손상발생적뇨실금。차방법치득재림상상대력추엄사용。
Objective To explore the prevention effect of push and cut of the apex of prostate on inconti-nence after TURP. Methods We retrospectively analyzed the clinical data of 82 patients with BPH treated with TURP (push and cut of the apex of prostate)between 2012 and February 2015 in our department. We followed-up for 3 months to 3 years,and analyzed the incidence rate of incontinence after TURP. Results IPSS de-creased from (24 . 8 ± 3 . 5 )down to (6 . 8 ± 2 . 6 ),while Qmax increased from (8 . 7 ± 1 . 3 )up to (15 . 6 ± 3 . 5). There was no patient with temporary or permanent incontinence. Conclusions Push and cut of the apex of prostate could effectively protect external urethral sphincter,and prevent postoperative invontinence because of the damage of external urethral sphincter. This method is worth popularizing in clinical use.