经尿道钬激光前列腺剜除术治疗老年前列腺增生的临床效果及对性功能的影响  

Clinical Effect of Transurethral Holmium Laser Enucleation of Theprostate in the Treatment of Elderly Prostatic Hyperplasia and Its Influence on Sexual Function

作　　者：花增荣 周吉芝 HUA Zengrong;ZHOU Jizhi(Huai’an Huai’an Hospital,Huai’an 223200,China;不详)

机构地区：[1]淮安市淮安医院,江苏淮安223200

出　　处：《中外医学研究》2024年第15期153-156,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨经尿道钬激光前列腺剜除术(HoLEP)及经尿道等离子前列腺剜除术(PKEP)治疗老年前列腺增生(PH)的临床效果及对性功能的影响。方法:选取2022年1月—2023年2月淮安市淮安医院收治的60例老年PH患者作为研究对象,随机分为研究组(行HoLEP治疗)对照组(行PKEP治疗),各30例。比较两组围手术期指标、手术前后尿流动力学指标与性功能指标及术后并发症发生情况。结果:研究组手术时间、膀胱冲洗时间、导尿管留置时间及住院时间短于对照组,术中出血量少于对照组,前列腺组织切除量多于对照组,差异有统计学意义(P<0.05)。术后3个月,研究组最大尿流率及平均尿流率均高于对照组,膀胱残余尿量少于对照组,差异有统计学意义(P<0.05)。术后3个月,研究组国际勃起功能指数问卷表-5(IIEF-5)评分高于对照组,逆行射精发生率低于对照组,差异有统计学意义(P<0.05)。研究组并发症总发生率为13.33%,低于对照组的33.33%,差异有统计学意义(P<0.05)。结论:对老年PH患者行HoLEP治疗手术时间较短,患者术中出血少、术后身体恢复较快,能明显改善患者术后尿流动力学及性功能,并发症少且安全性高。Objective:To investigate the clinical effect of transurethral holmium laser enucleation of theprostate(HoLEP)and transurethral plasma kinetic enucleation of prostate(PKEP)in the treatment of senility prostatic hyperplasia(PH)and its influence on sexual function.Method:A total of 60 elderly PH patients admitted to Huai’an Huai’an Hospital from January 2022 to February 2023 were selected as the study objects,and they were randomly divided into study group(receiving HoLEP treatment)and control group(receiving PKEP treatment),with 30 cases in each group.Perioperative indexes,urinary flow dynamics indexes,sexual function indexes and postoperative complications were compared between the two groups.Result:The operation time,bladder irrigation time,catheter retention time and hospital stay of the study group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the prostate tissue resection amount was higher than that of the control group,the differences were statistically significant(P<0.05).Three months after operation,the maximum urine flow rate and average urine flow rate of the study group were higher than those of the control group,and the residual urine volume of the bladder was less than that of the control group,the differences were statistically significant(P<0.05).Three months after operation,the international index of erectile function-5(IIEF-5)score of the study group was higher than that of the control group,and the incidence of retrograde ejaculation was lower than that of the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the study group was 13.33%,which was lower than 33.33% in the control group,and the difference was statistically significant(P<0.05).Conclusion:HoLEP treatment for elderly PH patients has shorter operation time,less intraoperative bleeding and faster recovery after surgery,which can significantly improve postoperative urodynamics and sexual function,with fewe

关 键 词：前列腺增生 经尿道钬激光前列腺剜除术 尿流动力学 性功能 

分 类 号：R699.8[医药卫生—泌尿科学]