PKVP中保留膀胱颈完整性对中年前列腺增生患者的治疗效果及术后性功能的影响分析  

Effect of retaining bladder neck in PKVP on middle aged patients with prostatic hyperplasia and theirposto-perative sexual function

作　　者：李强 倪梁朝[2] 宋光鲁[3] 卢强 杨旭 

机构地区：[1]博乐市博州人民医院泌尿外科,新疆博乐833400 [2]北京大学深圳医院,广东深圳518036 [3]新疆医科大学第一附属医院泌尿外科,乌鲁木齐830011

出　　处：《中国性科学》2016年第10期5-8,共4页Chinese Journal of Human Sexuality

基　　金：广东省医学科研基金立项课题(A2011562)

摘　　要：目的:探讨中年前列腺增生患者经尿道前列腺等离子电切术(PKVP)中保留膀胱颈对手术效果及性功能的影响。方法:选取本院泌尿外科2012年4月至2014年3月行PKVP手术的107例良性前列腺增生患者进行回顾性分析,根据术中是否保留患者的膀胱颈分为保留组68例、非保留组49例,对比两组患者的围手术期指标、手术效果及术后性功能差异。结果:保留组患者的手术时间(59.9±8.2)min显著的长于非保留组的(56.8±8.7)min(P<0.05);两组患者的手术出血量、膀胱冲洗时间、尿管留置时间、术后住院时间比较差异均无统计学意义(P>0.05);术后复查,保留组患者的IPSS评分、QOL评分、膀胱顺应性、最大逼尿肌压力、Qmax、RUV均显著的优于非保留组,差异具有统计学意义(P<0.05)。术后复查,保留组患者的勃起满意度、自慰或性交后患者达到高潮的满意度、射精满意度评分均显著的高于非保留组,差异具有统计学意义(P<0.05)。结论:PKVP术中保留膀胱颈有利于患者术后排尿功能、性功能的恢复,手术效果及术后性功能效果优于手术中不保留膀胱颈。Objectives： To explore the effect of retaining bladder neck in transurethral plasmakinetic resection of prostate（ PKVP） on middle- aged patients with prostatic hyperplasia and their postoperative sexual function.Methods： 107 patients with prostatic hyperplasia received PKVP surgery in our hospital from April 2012 to March2014 were selected and divided into reserved group（ n = 68） and non- reserved group（ n = 49） according to whether the bladder neck was reserved in the survey. The perioperative indicators,operation effect,and sexual function of the two groups were compared after surgery. Results： The operation time of reserved group（ 59. 9 ± 8. 2） min was significantly longer than non- reserved group（ 56. 8 ± 8. 7） min（ P〈 0. 05）. Difference in blood loss,bladder washing time,indwelling catheter time and postoperative hospital stay between the two groups was not statistically significant（ P〉 0. 05）. In the postoperative re- examination,the IPSS score,QOL score,bladder compliance,maximum detrusor pressure,Qmax and RUV of reserved group were significantly better than non- reserved group,with statistically significant difference（ P〈 0. 05）. In the postoperative re- examination,the erectile satisfaction,orgasm satisfaction after masturbation or sexual intercourse and ejaculation satisfaction scores of the reserved group were significantly higher than the non- reserved group,with statistically significant difference（ P〈 0. 05）.Conclusion： Reserving bladder neck in PKVP is good for the recovery of postoperative urinary function and sexual function,with better effect and postoperative sexual function.

关 键 词：中年 前列腺增生 经尿道前列腺等离子电切术 保留膀胱颈 性功能 

分 类 号：R699[医药卫生—泌尿科学]