전립선비대증 환자에서 경요도전립선절제술과 경요도전립선전기기화술의 비교
A Comparison of Transurethral Resection of Prostate and Transurethral Electrovaporization of Prostate in Benign Prostatic Hyperplasia
김학현, 임채상,
소속 상세정보
김학현 ( )
전북대학교
임채상 ( )
전북대학교 의과대학 비뇨기과학교실
KMID : 0358319990400050594
Abstract
결론
전립선비대증 환자를 대상으로 경요도전립선절제술과 경요도전립선전기기화술의 효과와
안전성에 대해 술 후 12개월까지 추적 관찰한 결과 양군 모두에서 국제 전립선증상점수, 최
고요속의 유의한 개선을 보였고, 양군 모두에서 심각한 합병증은 없었으며, 술중 또는 술후
이환율, 특히 출혈은 경요도전립선전기기화술군에서 더 적었으며 도뇨관 유치 기간, 입원기
간도 줄일 수 있었다. 본 연구의 결과에 비추어 볼 때 저침습적인 수술치료를 원하는 전립
선비대증 환자의 경우 경요도전림선전기기화술이 전통적인 경요도전립선절제술을 대체할 수
있는 좋은 수술법이라 생각된다. 앞으로 경요도전립선전기기화술의 영역을 더 넓히기 위해
서는 효과와 안전성 면에서 많은 연구가 이루어진 경요도전립선절제술처럼 많은 증례에 대
한 장기적인 추적관찰과 지속적인 수술장비의 개발이 필요할 것이다.
#초록#
Purpose : To evaluate comparative efficacy and safety of transurethral resection of the
prostate(TURP) and electrovaporization(TVP), we reviewed the records of sixty patients
with benign prostatic hyperplasia(BPH) who underwent TURP or TVP.
Materials and Methods : Sixty symptomatic patients formed the subject of this study.
Preoperative and postoperative international prostate symptom score(I-PSS), uroflow-
metry, operative details, and complications were recorded in each patient. Baseline, 6 and
12 months follow-up data were used for analyses.
Results : We compared 30 men treated by TURP with 30 men treated by TVP from
March 1996 to July 1997. There were no significant difference in the preoperative patient
characteristics including age, symptom duration, I-PSS, peak urinary flow rate and
prostate volume on TRUS between the two groups. In the TURP group, mean I-PSS
decreased from 20.5 at preoperation to 7.9 and 6.4, and mean peak urinary flow rate
increased from 7.5㎖/sec at preoperation to 15.6㎖/sec and 17.3㎖/sec at 6 and 12
months, respectively(p<0.01). In the TVP group, mean I-PSS decreased from 18.2 at
preoperation to 8.0 and 6.8, and mean peak urinary flow rate increased from 8.4㎖/sec at
preoperation to 15.6㎖/sec and 15.7㎖/sec at 6 and 12 months, respectively(p<0.01). The
changes of hemoglobin(2.1±0.7 versus 0.9±0.2g/㎗) and hematocrit(4.9±1.2 versus 2.4±
0.7%) were greater with TURP than with TVP(p<0.01). There was no significant
difference in operation time(42.6±19.5 versus 40.5±21.7minutes, p=0.69). Catheterization
time(4.5±1.6 versus 2.9±1.3days) and hospitalization time(5.9±1.9 versus 4.2±1.7days)
were longer with TURP than with TVP(p<0.01).
Conclusions : TURP and TVP were effective surgical procedures to treat patients with
symptomatic BPH. Both significantly improved subjective symptoms and increased peak
urinary flow late. Morbidity, catheterization time, and hospital stays were less with
electrovaporization. With this results, we conclude that TVP is an erective and safe
alternative surgical modality for the treatment of BPH.
Transurethral resection of the prostate; Transurethral electrovaporization of the prostate; Benign prostatic hyperplasia;
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