PKERP与PKRP治疗良性前列腺增生症的疗效及术后对性功能影响的比较分析  

A comparative analysis of PKERP and PKRP in treatment of benign prostatic hyperplasia and their influences on sexual function after operation

作　　者：黄俊[1] 孙明[1] HUANG Jun;SUN Ming(Department of Urinary Surgery,Jiangmen Central Hospital,Guangdong 529030,China)

机构地区：[1]江门市中心医院泌尿外科

出　　处：《中国临床新医学》2020年第2期172-175,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的分析经尿道前列腺等离子双极剜除术(PKERP)与经尿道前列腺等离子双极电切术(PKRP)治疗良性前列腺增生的临床疗效及对患者性功能的影响。方法将2017-01~2019-02收治的80例良性前列腺增生患者随机分成PKRP组和PKERP组,每组40例。两组患者均接受相同的基础治疗方案。PKERP组采用PKERP,PKRP组采用PKRP。比较两组患者术后膀胱冲洗时间、留置尿管时间,手术前及术后3个月国际前列腺症状评分(IPSS)、国际勃起功能指数-5(IIEF-5)、血清hs-CRP水平、膀胱残余尿量及治疗效果的差异。结果PKERP组患者术后膀胱冲洗时间显著短于PKRP组患者(P<0.01);PKERP组患者的留置尿管时间显著短于PKRP组患者(P<0.01);PKERP组患者的IPSS得分显著低于PKRP组患者(P<0.01);PKERP组患者的IIEF-5得分显著高于PKRP组患者(P<0.01);PKERP组患者的血清hs-CRP水平显著低于PKRP组患者(P<0.01);PKERP组患者的膀胱残余尿量显著少于PKRP组患者(P<0.01)。PKERP组患者治愈8例,显效21例,有效10例,无效1例。PKRP组治愈7例,显效11例,有效16例,无效6例。PKERP组疗效优于PKRP组(P<0.05)。结论PKERP治疗良性前列腺增生患者的效果良好,术后恢复快,对患者的性功能影响较少,与PKRP相比优势明显。Objective To analyze the clinical curative effects of transurethral plasmakinetic enucleation and resection of prostate(PKERP)and plasmakinetic resection of prostate(PKRP)in treatment of benign prostatic hyperplasia(BPH)and their influences on the patients′sexual function after operation.Methods Eighty BPH patients treated from January 2017 to February 2019 were randomly divided into PKRP group and PKERP group,with 40 cases in each group.Both groups received the same basic treatment regimen.The PKERP group received PKERP procedure and the PKRP group received PKRP procedure.The postoperative bladder irrigation time and urinary catheter indwelling time was compared between the two groups.The International Prostate Symptom Score(IPSS),the International Index of Erectile Function(IIEF-5)Score,the level of serum high-sensitivity C-reactive protein(hs-CRP),the bladder residual urine volume and the curative effect were compared between the two groups before and 3 months after surgery.Results The postoperative bladder irrigation time of the patients in the PKERP group was significantly shorter than that in the PKRP group(P<0.01).The urinary catheter indwelling time of the patients in the PKERP group was significantly shorter than that in the PKRP group(P<0.01).The IPSS of the patients in the PKERP group was significantly lower than that in the PKRP group(P<0.01).The IIEF-5 score of the patients in the PKERP group was significantly higher than that in the PKRP group(P<0.01).The level of serum hs-CRP of the patients in the PKERP group was significantly lower than that in the PKRP group(P<0.01).The bladder residual urine volume of the patients in the PKERP group was significantly less than that in the PKRP group(P<0.01).In the PKERP group,8 cases were cured,21 cases markedly effective,10 cases effective and 1 case ineffective.In the PKRP group,7 cases were cured,11 cases markedly effective,16 cases effective and 6 cases ineffective.The curative effect of the PKERP group was better than that of the PKRP group(P<0.05).Concl

关 键 词：经尿道前列腺等离子双极剜除术 经尿道前列腺等离子双极电切术 良性前列腺增生 性功能 

分 类 号：R697.32[医药卫生—泌尿科学]