经尿道等离子切除前列腺的膀胱功能及性功能的影响分析  

Analysis of the Effects of Transurethral Plasma Resection of Prostate on Bladder Function and Sexual Function

作　　者：胡道荣[1] HU Daorong(Department of Urology,People's Hospital of Hechuan District,Chongqing,401520 China)

机构地区：[1]重庆市合川区人民医院泌尿外科,重庆401520

出　　处：《系统医学》2021年第24期118-122,共5页Systems Medicine

摘　　要：目的研究经尿道等离子切除对前列腺增生患者的膀胱功能、性功能的影响效果以及术后安全性。方法选取该院在2018年1月-2021年6月收治的635例前列腺增生患者作为该次研究对象,按照随机数表法分为对照组(n=317)和观察组(n=318)。通过经尿道前列腺等离子剜除术或者切除术治疗的患者为观察组,通过经尿道前列腺电切术治疗的患者为对照组。比较两组患者的手术相关指标,术后并发症(泌尿系统感染、出血、尿道狭窄、尿道损伤、尿失禁)发生率,手术前后的膀胱功能[最大尿流速率(Qmax)、剩余尿量(PVR)];手术前后的尿失禁评分(ICIQ-SE)、前列腺症状评分(IPSS)、勃起功能评分-5(IIEF-5);手术前后的勃起功能障碍率、逆行射精率。结果手术前,两组患者的Qmax、PVR、ICIQ-SE、IPSS、IIEF-5、勃起功能障碍率、逆行射精率比较,差异无统计学意义(P>0.05);手术后,两组患者的ICIQ-SE、IPSS比较,差异无统计学意义(P>0.05);手术后,观察组患者的勃起功能障碍率、逆行射精率分别为29.87%,12.58%,均低于对照组,差异有统计学意义(χ^(2)=34.072、21.928,P<0.05);观察组患者的手术指标、术后Qmax、PVR、IIEF-5评分均优于对照组,差异有统计学意义(P<0.05);观察组患者的术后并发症发生率为2.20%,低于对照组的14.20%,差异有统计学意义(χ^(2)=30.377,P<0.05)。结论前列腺增生患者通过经尿道前列腺等离子剜除术或者切除术进行治疗,安全性高,可提升膀胱功能以及性功能,降低勃起功能障碍以及逆行射精率,影响效果显著。Objective To study the effect of transurethral plasma resection on bladder function, sexual function and postoperative safety in patients with benign prostatic hyperplasia. Methods A total of 635 patients with benign prostatic hyperplasia admitted to the hospital from January 2018 to June 2021 were selected as the subjects of this study.According to the random number table method, they were divided into control group(n=317) and observation group(n=318). Patients treated by transurethral plasma enucleation or resection of the prostate were the observation group.Patients treated by transurethral resection of the prostate were the control group. Comparison of the operation-related indicators, the incidence of postoperative complications(urinary system infection, bleeding, urethral stricture, urethral injury, urinary incontinence), bladder function before and after the operation [maximum urine flow rate(Qmax),remaining urine quantity(PVR)]. urinary incontinence score(ICIQ-SE), prostate symptom score(IPSS), erectile function score-5(IIEF-5) before and after surgery. Erectile dysfunction rate and retrograde ejaculation rate before and after surgery of the two groups of patients. Results Before surgery, there was no significant difference in Qmax, PVR, ICIQ-SE, IPSS, IIEF-5, erectile dysfunction rate, and retrograde ejaculation rate between the two groups of patients(P >0.05). There was no statistically significant difference in ICIQ-SE and IPSS between the two groups of patients after surgery(P >0.05). After surgery, the erectile dysfunction rate and retrograde ejaculation rate of the observation group were 29.87% and 12.58%, respectively, which were lower than those of the control group. The difference was statistically significant(χ^(2)=34.072, 21.928, P<0.05). The surgical indicators, postoperative Qmax, PVR,and IIEF-5 scores of the observation group were better than those of the control group, and the difference was statistically significant(P <0.05). The incidence of postoperative complications in the observation

关 键 词：经尿道等离子切除术 前列腺增生 膀胱功能 性功能 影响效果 

分 类 号：R694[医药卫生—泌尿科学]