前列腺切除手术影响性功能研究及危险因素评估分析  

Effect of prostatectomy on sexual function

作　　者：孙学国[1] 姜从梅[1] 钱辉军[2] 

机构地区：[1]房县人民医院泌尿外科,湖北十堰442100 [2]武汉大学人民医院(湖北省人民医院)泌尿外科,武汉430000

出　　处：《中国性科学》2014年第3期9-11,共3页Chinese Journal of Human Sexuality

摘　　要：目的:探讨前列腺切除手术对患者性功能的影响,对术后存在的危险因素进行评估分析。方法:选取我院2009年10月至2012年8月期间因患前列腺疾病的72例老年住院患者作为研究对象,采用术前谈话进行确认患者在术前的5个月有正常性生活,在术后的6个月内对患者进行门诊随访,再次了解其性功能的情况,并对术后给患者的性功能带来的危害因素进行评估分析。结果:手术后患者的精液量减少情况、有无精液排出和不射精情况显著高于手术前,差异均具有统计学意义(χ2=20.3789、6.8491、7.3577,P<0.05);手术后有4.17%的患者出现勃起功能障碍,与手术前相比差异不显著,差异无统计学意义(χ2=3.0638,P>0.05);术后8.33%的患者出现逆行射精,与手术前相比差异显著,差异具有统计学意义(χ2=7.3577,P<0.05)。结论:前列腺切除术会对患者的性功能造成一定的影响,并存在一定的危害性,在手术前需要告知患者手术可能存在的并发症。Objectives： To investigate the effect of prostate removal on sexual function and to assess and analyze the risk factors.Method： 72 inpatients with prostate disease staying in our hospital from October 2009 to Au-gust 2012 were selected and given preoperative interview to confirm their normal sexual life 5 months before the surgery.Six months after the surgery,we performed follow-up visits to assess the patient＇ s sexual function and the risk factors.Results： The semen volume were significantly higher than that before the surgery （x2 =20.3789,6.8491,7.3577,P ＜0.05） ; after receiving the surgery,the erectile dysfunction rate was 4.17％,showing no statistically significant difference as compared with the rate before the surgery （x2 =3.0638,P ＞ 0.05） ; postoperative retrograde ejaculation rate was 8.33％,showing statistically significant difference （x2 =7.3577,P ＜ 0.05）.Conclusion： Prostatectomy may affect the patients＇ sexual function and cause some adverse reaction.It is necessary to inform patients of these possible risks before the operation.

关 键 词：前列腺切除术 性功能 危险因素 评估分析 

分 类 号：R697.3[医药卫生—泌尿科学]