CAJ | 학술논문

目的对比分析经尿道前列腺等离子双极电切术(TUPKP)与经尿道前列腺电切术(TURP)治疗良性前列腺增生症的安全性及有效性. 方法将68例良性前列腺增生患者随机分为TUPKP组和TURP组,比较两组的手术时间、术后住院时间、留置尿管时间、前列腺切除重量、血红蛋白、血钠水平、并发症发生率及治疗后1,6,12个月的国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Q max)等疗效指标. 结果术后1个月,两组IPSS、QOL和Qmax比较,差异无统计学意义(P>0.05),而术后6、12个月,TUPKP组的IPSS、QOL和Qmax值与TURP组比较有显著差异(P<0.05);TUPKP组的住院时间、留置尿管时间明显短于TURP组(P<0.05),血红蛋白、血钠水平下降量及并发症发生率显著低于TURP组(P<0.05). 结论与TURP相比,TUPKP是一种安全有效的手术方式,具有住院时间短,血红蛋白、血钠水平下降少,术后留置尿管时间短,并发症发生率低,远期疗效好等优点.
목적 대비분석경뇨도전렬선등리자쌍겁전절술(TUPKP)여경뇨도전렬선전절술(TURP)치료량성전렬선증생증적안전성급유효성. 방법 장68례량성전렬선증생환자수궤분위TUPKP조화TURP조,비교량조적수술시간、술후주원시간、류치뇨관시간、전렬선절제중량、혈홍단백、혈납수평、병발증발생솔급치료후1,6,12개월적국제전렬선증상평분(IPSS)、생활질량평분(QOL)、최대뇨류솔(Q max)등료효지표. 결과 술후1개월,량조IPSS、QOL화Qmax비교,차이무통계학의의(P>0.05),이술후6、12개월,TUPKP조적IPSS、QOL화Qmax치여TURP조비교유현저차이(P<0.05);TUPKP조적주원시간、류치뇨관시간명현단우TURP조(P<0.05),혈홍단백、혈납수평하강량급병발증발생솔현저저우TURP조(P<0.05). 결론 여TURP상비,TUPKP시일충안전유효적수술방식,구유주원시간단,혈홍단백、혈납수평하강소,술후류치뇨관시간단,병발증발생솔저,원기료효호등우점.
Objective To evaluate the clinical efficacy and safety of bipolar transurethral plasma kinetic prostatectomy(TUPKP) versus transurethral resection of prostate (TURP) in treating benign prostatic hyperplasia (BPH). Methods 68 patients with benign pro-static hyperplasia were randomly divided into TUPKP group and TURP group randomly, the operative time, postoperative hospital stay, in-dwelling catheter time, prostatectomy weight, hemoglobin, serum sodium levels, complications and the International prostate symptom score (IPSS), quality of life score (QOL), maximum flow rate (Q max) 1,6,12 months after treatment were compared between two groups. Results After one month, there was no significant difference between the two group on IPSS, QOL and Qmax (P>0.05), and after 6 and 12 months, IPSS ,QOL and Qmax values of TUPKP group were significantly different with those of TURP group (P<0.05);). The hospitalization, in-dwelling catheter time of TUPKP group were significantly shorter than the TURP group (P<0.05), and hemoglobin, serum sodium levels drop volume and complication rate were significantly lower than TURP group (P<0.05 ). Conclusion Compared with TURP, TUPKP is a safe and effective surgical methods in treating BPH, which is of with shorter hospital stay, less hemoglobin, serum sodium levels drop, shorter catheter indwelling time, lower complication rate, and good long-term efficacy advantages.