两种不同电切手术方案对前列腺增生病人临床疗效及性功能的影响对比研究  

Comparison of the clinical efficacy of two different surgical resections for patients with benign prostatic hyperplasiaand the impact on the sexual function

作　　者：何海宝[1] 王涛[1] 张建勋[1] 刘安[1] HE Haibao;WANG Tao;ZHANG Jianxun;LIU An(Department of Urology ,Yan'an People's Hospital,Yan'an 716000,Shaanxi,China)

机构地区：[1]延安市人民医院泌尿外科,陕西延安716000

出　　处：《中国性科学》2019年第3期15-17,共3页Chinese Journal of Human Sexuality

摘　　要：目的对前列腺增生(BPH)患者采用不同电切术治疗的效果进行评析。方法以2015年10月至2017年10月在延安市人民医院泌尿外科诊治的150例BPH患者作为观察对象,依照手术方式分成观察组和对照组,各75例;对照组采取经尿道前列腺电切术(TUVP)治疗,观察组采取经尿道双极等离子电切术(PKRP),对比两组手术情况,并测定手术前后Qmax、PRV及IPSS,随访随访3个月、6个月的阴茎勃起功能障碍(ED)、逆行射精(RE)发生情况。结果观察组术中出血量、导管留置时间及住院时间均显著短于对照组,差异具有统计学意义(P<0.05),手术时间差异无统计学意义(P>0.05);观察组术后并发症发生率为2.67%,低于对比组的13.33%,差异有统计意义(P<0.05);两组患者手术前后Qmax、PVR、IPSS评分差异有统计意义,但组间比较无明显差异,差异无统计学意义(P>0.05);术后随访3个月、6个月观察组ED发生率低于对比组,差异具有统计意义(P<0.05)。结论采用PKRP术治疗BPH,创伤小,术中出血少,术后恢复快,且对患者性功能影响小,安全性高,临床优势更为显著。Objective To evaluate the effect of different electrosurgical treatment for (BPH) patients with benign prostatic hyperplasia ( BPH). Methods From October 2015 to October 2017, 150 patients with BPH were divided into observation group (75 cases) and control group (75 cases), who were treated in the Urology Department of Yan'an People's Hospital from October 2015 to October 2017. The control group was treated with transurethral resection of prostate (TUVP), the observation group was treated with transurethral bipolar resection of prostate ( PKRP),) and the other two groups were compared. Qmax,PRV and IPSS, were followed up for 3 months before and after operation. The occurrence of (ED), retrograde ejaculation (RE) in 6 months of penile erectile dysfunction. Results The intraoperative bleeding volume, catheter indwelling time and hospitalization time in the observation group were significantly shorter than those in the control group ( P < 0. 05 ), but there was no significant difference in the operation time ( P > 0. 05 ). The incidence of postoperative complications in the observation group ( 2. 67%) was lower than that in the control group ( 13. 33%)( P < 0. 05 ). There was a significant difference in Qmax,PVR,IPSS scores between the two groups before and after operation, but there was no significant difference between the two groups (P >0 05). After 3 months of follow-up, the incidence of ED in the observation group was lower than that in the control group at 6 months, the difference was statistically significant ( P < 0. 05 ). Conclusions PKRP was used to treat BPH, with less trauma, less bleeding during operation, faster recovery after operation, less influence on sexual function, higher safety, and more significant clinical advantages.

关 键 词：经尿道双极等离子电切术 经尿道前列腺电切术 前列腺增生 性功能 

分 类 号：R711[医药卫生—妇产科学]