CAJ | 학술논문

目的：：总结经尿道前列腺电切术( TURP)治疗老年良性前列腺增生( BPH)的围手术期处理方法。方法：回顾性分析69例施行TURP的老年BPH患者的临床资料，比较手术前后各项指标的差异。结果：69例均耐受TURP手术，并安全渡过围手术期，无病死病例。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。所有患者术后12个月的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差异均有统计学意义(P<0.01)。结论：术前针对老年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所在。
목적：：총결경뇨도전렬선전절술( TURP)치료노년량성전렬선증생( BPH)적위수술기처리방법。방법：회고성분석69례시행TURP적노년BPH환자적림상자료，비교수술전후각항지표적차이。결과：69례균내수TURP수술，병안전도과위수술기，무병사병례。술중미발생대출혈급경뇨도전렬선전절종합정，술후조기미출현폐부감염급폐전새등엄중병발증。소유환자술후12개월적국제전렬선증상평분、생활질량평분、최대뇨류솔급잔여뇨량여수술전차이균유통계학의의(P<0.01)。결론：술전침대노년BPH환자적고위인소진행개체화치료，술중엄밀감측、규범조작、철저지혈이급술후완선세치적치료시보증수술성공적관건소재。
Objective:To summarize the treatment of perioperative period in senile benign prostatic hyperplasia(BPH) treated with transurethal resection of prostate ( TURP ) . Methods:The clinical data of 69 BPH patients treated with TURP were retrospectively analyzed. The differences of the indexes in all cases between before and after operation were compared. Results:The 69 elderly patients withstanded the TURP operation and gotten safely through the perioperative period, and no death case was found. No bleeding and transurethral resection syndrome during the operation,and no pulmonary infection and pulmonary embolism in early after operation were found. The differences of the international prostate symptom score,quality of life score,maximum urinary flow rate and residual urine volume in all patients between before operation and after 12 months of operation were statistically significant(P<0. 01). Conclusions:The individualized treatment,strict monitoring,standard operation,thorough hemostasis,postoperative careful treatment in elderly BPH patients are the key in ensuring the success of operation.