经尿道前列腺等离子腔内剜除术对良性前列腺增生患者性功能影响的前瞻性研究  

Transurethral enucleation of plasma chamber of benign prostatic hyperplasia on sexual function in patients with prospective study

作　　者：何国伟[1] 刘春晓[1] 尹杰[2] 麦能斌[2] 陈向新[2] 林靖波[2] 麦源[2] 

机构地区：[1]南方医科大学珠江医院泌尿外科 佛山市第二人民医院泌尿外科,广东省广州510280 [2]佛山市第二人民医院泌尿外科

出　　处：《中国基层医药》2010年第12期1640-1642,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 比较经尿道前列腺等离子腔内剜除术（TUERP）与经尿道前列腺等离子切除术（PKRP）治疗良性前列腺增生（BPH）的疗效、安全性以及对性功能的影响.方法 80例BPH患者随机分为两组,分别行TUERP与PKRP.随访12个月,比较两组最大尿流率（Qmax）、残余尿量（PVR）、血清前列腺特异抗原（PSA）水平、前列腺体积（PV）、国际前列腺症状评分（IPSS）、生活质量评分（QOL）、膀胱内前列腺突出（1PP）等指标及勃起功能障碍情况和逆行射精情况的变化.结果 两组自身术后1、3、6、12个月Qmax、PVR、IPSS、QOL均较术前改善.两组间比较,术后1个月在前列腺体积差异有统计学意义.术后3个月在前列腺体积和残余尿量上差异有统计学意义.术后6个月及12个月前列腺体积、残余尿量和PSA上TUERP组均明显小于PKRP组.术后勃起功能障碍（ED）及逆行射精情况发生率两组间比较差异无统计学意义.结论 TUERP术与PKRP术相比,近期手术疗效相似,前列腺切除率高于PKRP组.TUERP对患者性功能有一定的影响,但通过恰当的个性化治疗,部分患者的性功能是可恢复的.Objective To compare transurethral enucleation of plasma chamber（TUERP）plasma and tran-surethral resection of the prostate（PKRP） treatment efficacy,security and the impact on sexual function.Methods 80 cases of BPH patients were randomly divided into two groups,TUERP and PKRP.Follow-up for 12 months,compared two groups maximum urinary flow rate（Qmax）,residual urine volume（PVR）,serum prostate-specific antigen（PSA） level,prostate volume（PV）,international prostate symptom score（IPSS）,quality of life score（QOL）,the bladder prostate prominent（IPP）and other indicators and erectile dysfunction and retrograde ejaculation changing circum-stances were compared.Results In the weight of prostate surgery there were significant differences,in which removal of the weight of TUERP group significantly higher than PKRP group.After 12 months,32 cases of TUERP patients and 31 patients of PKRP group completed follow-up.After 1,3,6,12 months,Qmax,PVR,IPSS,QOL improved than that before surgery.Two groups were compared after a month,and there were significant differences in prostate volume,which TU/ERP group was significantly smaller than PKRP group.After3 months in the prostate volume and residual U-rine volume there were significant differences,both TUERP group Was significantly smaller than PKRP group.After 6 months and 12 months in the prostate volume,residual urine volume and there were significant differences in PSA,both TUERP group was significantly smaller than PKRP group.ED,and retrograde ejaculation occured after the rate of two between the two groups was no significant difference.Conclusion Transurethral enueleation of plasma chamber on sexual function in patients,but through the appropriate personalized treatment,sexual function in some patients was recoverable.

关 键 词：前列腺增生 经尿道前列腺切除术 性功能 

分 类 号：R699[医药卫生—泌尿科学]