经尿道前列腺剜切术对良性前列腺增生患者术后阴茎勃起功能及排尿情况的影响  

Impact of TUERP on postoperative erectile function and urination of BPH patients

作　　者：陈庆[1] 黄志扬[1] 辛军[1] 辛明华[1] 孙安毅[2] CHEN Qing;HUANG Zhiyang;XIN Jun;XIN Minghua;SUN Anyi(Department of Urology Surgery,Quanzhou the First Hospital Affiliated to Fujian Medical University,Quanzhou 362000,Fujian,China;Department of Ultrasound,Quanzhou the First Hospital Affiliated to Fujian Medical University,Quanzhou 362000,Fujian,China)

机构地区：[1]福建医科大学附属泉州第一医院泌尿外科,福建泉州362000 [2]福建医科大学附属泉州第一医院超声科,福建泉州362000

出　　处：《中国性科学》2022年第3期13-17,共5页Chinese Journal of Human Sexuality

摘　　要：目的探讨经尿道前列腺剜切术(TUERP)对前列腺增生(BPH)患者术后阴茎勃起和排尿情况的影响。方法选取2018年2月至2020年1月福建医科大学附属泉州第一医院泌尿外科诊治的111例BPH患者,按照随机对照原则分为TUERP组(56例)和经尿道前列腺电切术(TURP)组(55例),观察两组手术前后国际勃起功能指数(IIEF-5)评分、焦虑自评量表(SAS)评分、国际前列腺症状评分(IPSS)、生活质量(QOL)评分、最大尿流率(Q_(max))及尿潴留情况,分析两组患者阴茎勃起功能和排尿情况的差异。结果两组IIEF-5评分较术前下降,SAS评分较术前升高,差异具有统计学意义(P<0.05);而术后6个月及术后1年IIEF-5和SAS评分与术前比较,差异无统计学意义(P>0.05)。术后3个月,TUERP组IIEF-5评分明显高于TURP组,差异具有统计学意义(P<0.05);而两组术后6个月及1年的IIEF-5评分比较,差异无统计学意义(P>0.05)。术后3个月,两组Q_(max)、QOL评分及IPSS均较术前有所改善,差异具有统计学意义(P<0.05);但两组间比较,差异无统计学意义(P>0.05)。TUERP组1例患者、TURP组2例患者术后1个月内出现急性尿潴留,行尿道扩张术后症状缓解。结论TUERP在避免勃起神经受损方面明显优于TURP,加之积极精神心理辅导,可早期恢复患者性功能,给术后勃起功能有要求的BPH患者提供了一种更为理想的微创手术方法。Objective To explore the impact of transurethral enucleative resection of prostate(TUERP)on postoperative erectile function and urination of benign prostatic hyperplasia(BPH)patients.Methods 111 patients with BPH treated in Department of Urology Surgery of Quanzhou the First Hospital Affiliated to Fujian Medical University from February 2018 to January 2020 were enrolled and randomly divided into TUERP group(n=56)and transurethral resection of the prostate(TURP)group(n=55),respectively.The international index of erectile function(IIEF-5)scores,self-rating anxiety scale(SAS)scores,international prostate symptom score(IPSS),quality of life(QOL)scores,maximum flow rate(Q_(max))and the rate urinary retention of the patients were observed before and after surgery,to analyzed the differences of erectile function and urination between the two groups.Results The IIEF-5 scores in the two groups were lower than those before surgery,and the SAS scores were higher than those before surgery,and the differences were statistically significant(P<0.05).But after 6 months of surgery and after 1 year of surgery,there were no differences in IIEF-5 and SAS scores compared with those before surgery(P>0.05).3 months after surgery,the IIEF-5 score in TUERP group was significantly higher than that in TURP group(P<0.05).However,there were no differences between the two groups 6 months after operation and 1 year after surgery in the IIEF-5 score.At 3 month after surgery,the Q_(max)scores,QOL scores and IPSS in both group were significantly improved(P<0.05),but there were no significant differences between the two groups(P>0.05).One case in TUERP group and two cases in TURP group developed acute urinary retention within 1 month after the operation,and the symptom was relieved after urethral dilatation.Conclusions TUERP surgery is significantly better than TURP surgery in avoiding damage to erectile nerves,which can restore the patient′s sexual function early with active mental counseling.It provides a more ideal minimally invasive operati

关 键 词：经尿道前列腺剜切术 勃起功能 排尿情况 

分 类 号：R691[医药卫生—泌尿科学]