经尿道前列腺等离子双极电切术对阴茎勃起功能的影响(附100例报告)  

The impact of transurethal plasmakenitic resection of prostate on penile erectile function

作　　者：李大文[1] 李恩春[1] 张茨[2] 钱辉军[2] 吴荣杨[2] 王玲珑[2] 杨文涛[1] 

机构地区：[1]广西中医学院附属瑞康医院泌尿外科,南宁530011 [2]武汉大学人民医院泌尿外科

出　　处：《临床泌尿外科杂志》2007年第9期684-686,共3页Journal of Clinical Urology

基　　金：广西科技公关计划资助项目(桂科攻0472002-16)

摘　　要：目的:比较经尿道前列腺电切术(TURP)和经尿道前列腺等离子双极电切术(PKRP)治疗BPH后对患者阴茎勃起功能的影响,并探讨各自相关影响因素。方法:按1∶1比例随机分为TURP组和PKRP组,用勃起功能国际问卷(IIEF25)和Rigiscan硬度仪评测患者术前术后性功能变化;记录IIEF25评分、患者年龄、切除前列腺大小、手术时间、术中出血量、包膜损伤、逆行射精、电切综合征(TURS)等可能影响性功能的因素进行变量逻辑回归分析。结果:TURP组术后6个月有9例(18.0%)、PKRP组有5例(10.0%)发生阴茎勃起功能障碍(ED),术后ED与患者年龄、术前IIEF25评分、逆行射精及包膜损伤有显著相关性。结论:TURP、PKRP术对患者性功能均有不同程度的影响,而PKRP对性功能的影响较轻微;影响术后性功能比较显著的因素为患者年龄、包膜损伤、逆行射精和术前IIEF25评分。Objective：To study the changes in sexual function following surgical treatment of BPH with TURP and PKRP,and to investigate the influencing factors of penile erectile function respectively. Methods： Totally 100 cases of patients with BPH were enrolled and divided randomly（ 1 ： 1 ）into two groups： TURP and PKRP. IIEF25 and Rigisean were used for assessing penile erectile functionin preoperatively and postoperatively. Full details of each operation were re- corded and analyzed （logistic regression）. Results： Postoperatively, 9 patients（ 18. 00 %） in the TURP group were found having ED, but only 5 patients（ 10.00 % ） the PKRP group had this problem. The erectile dysfunction postoperative was strongly correlated with patient age, trauma of the capsule, retrograde jaculation and preopertive IIEF25 score. Conclusions：In a view of postoperative sexual function after surgical treatment of BPH,PKRP superior to TURP. The difference of sexual function was more evidently on trauma of the capsule, retrograde jaculation, senior patient and low IIEF25 score before PKRP.

关 键 词：阴茎勃起功能障碍 等离子双极电切术 良性前列腺增生 

分 类 号：R698[医药卫生—泌尿科学]