经尿道棒状水囊前列腺扩开术联合电切镜治疗良性前列腺增生的临床研究  

Clinical study on transurethral columnar balloon dilation of the prostate combined with electroresectoscope in the treatment of patients with benign prostatic hyperplasia

作　　者：路志民[1] 闫昆吾 徐飞[1] 郭雪娇 肖波[1] 郭明涛[1] LU Zhimin;YAN Kunwu;XU Fei;GUO Xuejiao;XIAO Bo;GUO Mingtao(Department of Urology,the First Hospital of Handan,Handan 056000,Hebei,China)

机构地区：[1]邯郸市第一医院泌尿外科,河北邯郸056000

出　　处：《中国性科学》2025年第2期29-33,共5页Chinese Journal of Human Sexuality

基　　金：河北卫生健康委科技计划项目(20181654)。

摘　　要：目的探讨经尿道棒状水囊前列腺扩开术(TUCBDP)联合电切镜治疗良性前列腺增生(BPH)对患者下尿路症状(LUTS)和性功能的影响。方法选取2019年1月至2020年6月邯郸市第一医院收治的140例BPH患者作为研究对象。采用随机数字表法分为研究组和对照组,每组70例。研究组采用TUCBDP联合电切镜治疗,对照组采用经尿道前列腺电切术治疗。比较两组手术时间、术中出血量、术后膀胱冲洗时间、术后尿管留置时间、住院时间、国际前列腺症状评分(IPSS)、最大尿流率(Qmax)、膀胱残余尿量(PVR)、手术前后国际勃起功能指数-5(IIEF-5)评分、生活质量(QoL)评分及并发症发生情况。结果研究组术中出血量显著少于对照组,手术时间、术后膀胱冲洗时间、术后尿管留置时间及住院时间均显著短于对照组,差异具有统计学意义(P<0.05)。术后12个月,两组PVR、IPSS均降低,Qmax均升高,但两组间比较,差异无统计学意义(P>0.05)。术后3个月,研究组IIEF-5评分显著优于对照组,差异具有统计学意义(P<0.05);术后12个月,两组IIEF-5评分比较,差异无统计学意义(P>0.05)。术后3、12个月,两组QoL评分均较术前显著降低,但两组间比较,差异无统计学意义(P>0.05)。研究组手术并发症总发生率显著低于对照组,差异具有统计学意义(P<0.05)。结论相较于传统的经尿道前列腺电切术,TUCBDP联合电切镜治疗BPH患者的疗效可靠,具有手术创伤小、术后恢复快及手术并发症发生风险低等显著优势。Objective To investigate the influence of transurethral columnar balloon dilation of the prostate(TUCBDP)combined with electroresectoscope on lower urinary tract symptoms(LUTS)and sexual function of patients with benign prostatic hyperplasia(BPH).Methods A total of 140 BPH patients admitted to the First Hospital of Handan from January 2019 to June 2020 were selected as the study objects.Patients were divided into study group and control group by random number table method,with 70 cases in each group.The study group was treated with TUCBDP combined with electroresectoscope,and the control group was treated with transurethral resection of the prostate.The operative time,intraoperative blood loss,postoperative bladder irrigation time,postoperative urinary catheter retention time,hospital stay,international prostate symptom score(IPSS),maximum urinary flow rate(Qmax),bladder residual urine volume(PVR),international erectile function index-5(IIEF-5)score before and after surgery,quality of life(QoL)score and complications of the two groups were compared.Results The intraoperative blood loss of study group was significantly less than control group,and the operative time,postoperative bladder irrigation time,postoperative urinary catheter retention time and hospital stay were significantly shorter than control group,with statistically significant differences(P<0.05).The PVR and IPSS decreased and Qmax increased of the two groups at 12 months after surgery,but there was no statistical significance between two groups(P>0.05).The IIEF-5 score at 3 months after surgery of study group was significantly better than control group,and the difference was statistically significant(P<0.05).There was no significant difference in IIEF-5 scores between two groups at 12 months after surgery(P>0.05).The QoL scores at 3 and 12 months after surgery of two groups were both significantly lower than before surgery,but there was no significant difference between two groups(P<0.05).The incidence of surgical complications of study group was si

关 键 词：良性前列腺增生 下尿路症状 性功能 经尿道棒状水囊前列腺扩开术 并发症 

分 类 号：R697[医药卫生—泌尿科学]