两种术式治疗良性前列腺增生对患者术后尿动力学状态及勃起功能的影响  

Effects of Two Surgical Methods on Postoperative Urodynamic Status and Erectile Function in Patients with Benign Prostatic Hyperplasia

作　　者：魏文焕 Wei Wenhuan(Department of Urology,Xinyang Central Hospital,Xinyang,Henan,474000,China)

机构地区：[1]信阳市中心医院泌尿外科,河南信阳474000

出　　处：《黑龙江医学》2024年第16期1943-1946,共4页Heilongjiang Medical Journal

摘　　要：目的:分析探讨两种术式治疗良性前列腺增生(BPH)对患者术后尿动力学状态及勃起功能的影响。方法:选取2021年7月—2022年9月信阳市中心医院收治的80例BPH患者作为研究对象,按手术方式不同将入选患者分为剜除术组(n=39)和电切术组(n=41)。剜除术组实施双极等离子剜除术(TUKEP),电切术组实施双极等离子电切术(TUPKP),比较两组患者围术期指标、术后并发症发生率,术后3个月尿动力学状态、勃起功能、症状严重程度及生活质量评分。结果:剜除术组手术时间、膀胱持续冲洗时间、留置尿管时间、住院时间均明显短于电切术组,切除腺体重量明显多于电切术组,并发症总发生率低于电切术组,差异均有统计学意义(t=2.091、4.447、4.840、3.251、4.433,χ^(2)=4.515;P<0.05);术后3个月,剜除术组膀胱顺应性和最大尿流率明显多于电切术组,残余尿量、最大逼尿肌压力明显低于电切术组,差异均有统计学意义(P<0.05);术后6个月,剜除术组勃起功能障碍总发生率(5.13%)明显低于电切术组(21.95%),差异有统计学意义(χ^(2)=4.769,P<0.05);术后3个月,两组患者症状严重程度和生活质量评分均低于术前,且剜除术组评分明显低于电切术组,差异均有统计学意义(t=3.470、3.248,P<0.05)。结论:较TUPKP而言,TUKEP治疗BPH具有微创、术后恢复快、并发症发生率低等优势,可有效改善患者临床症状、尿动力学状态、勃起功能障碍,提高生活质量。Objective:To analyze and explore the effects of two surgical methods on postoperative urodynamic status and erectile function in patients with benign prostatic hyperplasia(BPH).Methods:80 patients with BPH admitted to the hospital from July 2021 to September 2022 were selected as observation subjects,and they were divided into enucleation group(n=39)and electric resection group(n=41)according to different surgical methods.The enucleation group underwent bipolar plasma enucleation,and the electric resection group was carried out bipolar plasma electric resection.Perioperative indicators,incidence rates of postoperative complications and urodynamic status,erectile function,symptom severity and quality of life score 3 months after surgery were compared between the two groups.Results:The surgical time,continuous bladder irrigation time,catheter indwelling time and hospital stay in enucleation group were significantly shorter than those in electric resection group,and the weight of excised glands was significantly heavier than that in electric resection group.The total incidence rate of postoperative complications in enucleation group was significantly lower than that in electric resection group(t=2.091,4.447,4.840,3.251,4.433;χ^(2)=4.515;P<0.05).3 months after surgery,the bladder compliance and maximum urine flow rate were increased significantly,while the residual urine volume and maximum detrusor pressure were lower than those of electric resection group(P<0.05).6 months after surgery,the total incidence rate of erectile dysfunction in enucleation group(5.13%)was significantly lower than that in electric resection group(21.95%),with statistically significant difference(χ^(2)=4.769,P<0.05).The symptom severity score and quality of life score 3 months after surgery were significantly decreased in both groups(P<0.05),and the scores were significantly lower in enucleation group than that in electric resection group(t=3.470,3.248;P<0.05).Conclusion:Compared with TUPKP,TUKEP had the advantages of minimally invasive pro

关 键 词：双极等离子剜除术 双极等离子电切术 良性前列腺增生 尿动力学状态 勃起功能 

分 类 号：R697.31[医药卫生—泌尿科学]