经尿道双极等离子剜除术治疗良性前列腺增生后并发勃起功能障碍的危险因素分析  

Risk factors for the complication of erectile dysfunction after transurethral bipolar plasma enucleation on benign prostatic hyperplasia

作　　者：江波[1] 王坚[1] 林俊[1] JIANG Bo;WANG Jian;LIN Jun(Department of Urinary Surgery,the 923 Hospital of the Chinese People′s Liberation Army Joint Logistic Support Force,Nanning 530021,Guangxi,China)

机构地区：[1]中国人民解放军联勤保障部队第923医院泌尿外科,广西南宁市530021

出　　处：《微创医学》2020年第4期429-432,461,共5页Journal of Minimally Invasive Medicine

摘　　要：目的探讨经尿道双极等离子剜除术治疗良性前列腺增生后并发勃起功能障碍的危险因素。方法选择确诊为良性前列腺增生且接受经尿道双极等离子剜除术治疗的90例患者,其中术后并发勃起功能障碍的9例患者作为功能障碍组,另81例未并发勃起功能障碍的患者纳入正常组。对两组患者的临床资料进行单因素和多因素分析,探究良性前列腺增生患者经尿道双极等离子剜除术后并发勃起功能障碍的危险因素。结果单因素分析结果显示,两组患者的BMI、吸烟、前列腺体积、手术时间、膀胱冲洗时间、导尿管留置时间比较,差异无统计学意义(均P>0.05);两组患者的年龄、病程、高血压史、糖尿病史、最大尿流率、残余尿量、术中出血量、泌尿外科手术史比较,差异有统计学意义(均P<0.05)。多因素Logistic回归分析结果显示,年龄≥65岁、有高血压史、有糖尿病史、最大尿流率<6 mL/s、有泌尿外科手术史是良性前列腺增生患者经尿道双极等离子剜除术后并发勃起功能障碍的独立危险因素(均P<0.05)。结论应重视并评估良性前列腺增生患者是否存在术后并发勃起功能障碍的危险因素,针对相关因素进行预见性干预,以降低术后勃起功能障碍的发生率。Objective To investigate the risk factors for the complication of erectile dysfunction after transurethral bipolar plasma enucleation in the treatment of benign prostatic hyperplasia.Methods A total of 90 patients diagnosed as benign prostatic hyperplasia undergoing transurethral bipolar plasma enucleation were selected.Among them,9 patients complicated with postoperative erectile dysfunction were included in the dysfunction group,and 81 patients non-complicated with erectile dysfunction were included in the normal group.Univariate and multivariate analyses were performed on the clinical data of the two groups to explore the risk factors for erectile dysfunction in patients with benign prostatic hyperplasia after transurethral bipolar plasma enucleation.Results Univariate analysis results showed that there were no statistically significant differences in BMI,smoking,prostate volume,operation time,bladder irrigation time,and urinary catheter indwelling time between the two groups(all P>0.05);there were statistically significant differences between the two groups in age,disease course,history of hypertension,history of diabetes,maximum urine flow rate,residual urine volume,intraoperative blood loss,and history of urological surgery(all P<0.05).Multivariate logistic regression analysis results showed that age≥65 years old,history of hypertension,history of diabetes,maximum urine flow rate<6 mL/s,and history of urological surgery were independent risk factors for the complication of erectile dysfunction after transurethral plasma enucleation in benign prostatic hyperplasia patients(all P<0.05).Conclusion Attention should be paid to evaluate the presence of risk factors for the complication of postoperative erectile dysfunction in patients with benign prostatic hyperplasia,and predictive intervention should be conducted to decrease the incidence of postoperative erectile dysfunction.

关 键 词：良性前列腺增生 经尿道双极等离子剜除术 勃起功能障碍 危险因素 

分 类 号：R697.3[医药卫生—泌尿科学]