经尿道前列腺等离子双极电切术对良性前列腺增生症患者症状改善及性功能的影响  

Effect of transurethral plasma kinetic resection of prostate on the symptom improvement and the sexual function in patients with benign prostatic hyperplasia

作　　者：姚大强[1] 田凯[1] 柳其中[1] Yao Daqiang, Tian Kai, Liu Qizhong(Urology Surgery, Luohe Central Hospital, Luohe 462000, Chin)

机构地区：[1]漯河市中心医院泌尿外科,462000

出　　处：《国际医药卫生导报》2018年第5期707-710,共4页International Medicine and Health Guidance News

摘　　要：目的探讨经尿道前列腺等离子双极电切术对良性前列腺增生症（BPH）患者症状改善及性功能的影响。方法选取2015年3月至2017年3月本院BPH患者96例，依据术式不同分为观察组（n=49）与对照组（n=47）。观察组予以经尿道前列腺等离子双极电切术，对照组予以经尿道前列腺电切术。比较两组术中、术后恢复及并发症发生情况，术后随访6个月对比两组术前、术后6个月最大尿流率（Qmax）、剩余尿量（PVR）、生活质量评分（SF-36）、国际前列腺症状评分（IPSS）变化情况及术后6个月阴茎勃起功能障碍、逆行射精发生情况。结果两组手术用时相比，差异无统计学意义（P〉0．05）；与对照组比较，观察组术中出血量较少，术后住院时间、留管时间较短，差异有统计学意义（P〈0．05）。观察组术后并发症发生率6．12％（3／49）低于对照组21．28％（10／47），差异有统计学意义（P〈0．05）。术前两组Qmax、PVR与SF-36评分、IPSS评分相比，差异无统计学意义（P〉0．05）；术后6个月与对照组比较，观察组PVR与IPSS评分较低，Qmax与SF-36评分较高，差异有统计学意义（P〈0．05）。术后6个月观察组阴茎勃起功能障碍、逆行射精发生率分别为6．12％（3／49）、24．49％（12／49），均低于对照组27．66％（13／47）、44．68％（21／47），差异有统计学意义（P〈0．05）。结论良性前列腺增生症患者予以经尿道前列腺等离子双极电切术治疗可有效减轻手术创伤，改善患者临床症状，减少术后并发症发生情况，促进患者术后康复，提高其生活质量，且对其性功能影响小。Objective To investigate the effect of transurethral plasma kinetic resection of prostate on the symptom improvement and the sexual function in patients with benign prostatic hyperplasia （BPH）. Methods 96 cases of BPH in our hospital from March 2015 to March 2017 were divided into the observation group （n=49） and the control group （n=47） according to different methods of operation. The observation group received transurethral plasma kinetic resection of prostate, while the control group received transurethral resection of the prostate. The intraoperative and postoperative recovery and complications were compared between the two groups. Following up for 6 months after the operation, the maximum urinary flow rate （Qmax）, residual urine volume （PVR）, quality of life score （SF-36）, and International Prostate Symptom Score （IPSS） before and 6 months after the surgery, and the incidences of erectile dysfunction and retrograde ejaculation 6 months after the surgery were compared between the two groups. Results There was no statistically significant difference in the operation time between the two groups （P〉0.05）. Compared with the control group, the observation group had less bleeding during operation, shorter postoperative hospitalization time, and shorter remaining catheter time （P〈0.05）. The incidence of postoperative complications of the observation group was 6.12% （3/49）, lower than that of the control group [21.28% （10/47）] （P〈0.05）. There were no statistically significant differences in Qmax, PVR, SF-36 score, and IPSS score between the two groups before operation （P〉0.05）. 6 months after the operation, compared with the control group, PVR and IPSS score of the observation group were lower, and Qmax and SF-36 score were higher （P〈0.05）. The incidences of erectile dysfunction and retrograde ejaculation in the observation group were 6.12% （3/49） and 24.49% （12/49） at 6 months after the operation, lower than those in the control group [27.66%

关 键 词：良性前列腺增生症 经尿道前列腺等离子双极电切术 经尿道前列腺电切术 症状 性功能 

分 类 号：R699.8[医药卫生—泌尿科学]