不同术式治疗前列腺增生对患者性功能及预后的改善效果  

The Improvement Effect of Different Surgical Methods on the Sexual Function and Prognosis of Patients with Benign Prostatic Hyperplasia

作　　者：田野[1] TIAN Ye(Department of Urology,Chifeng Hospital of Inner Mongolia Autonomous Region,Chifeng 024000,Inner Mongolia Autonomous Region,China)

机构地区：[1]内蒙古赤峰市医院泌尿外科,内蒙古赤峰024000

出　　处：《系统医学》2025年第4期18-22,共5页Systems Medicine

摘　　要：目的分析不同术式治疗前列腺增生对患者性功能及预后的改善效果。方法非随机选取2021年4月—2023年4月内蒙古赤峰市医院收治的101例前列腺增生患者为研究对象。根据治疗方式不同分为两组,对照组(n=50)应用经尿道前列腺电切术(transurethral resection of prostate,TURP),观察组(n=51)应用经尿道前列腺等离子电切术(plasma kinetic resection of prostate,PKRP)。比较两组患者手术情况,尿流动力学、生活质量、前列腺症状、勃起功能、射精功能、并发症发生情况。结果在住院时间、手术时间、膀胱冲洗时间以及留置导尿管时间方面,观察组均比对照组短,且观察组术中出血量少于对照组,差异有统计学意义(P均<0.05)。术后7 d,观察组尿流动力学中残余尿量与最大尿流率优于对照组,差异有统计学意义(P均<0.05);而两组的最大尿道闭合压相比,差异无统计学意义(P>0.05)。术后7 d,观察组生活质量评分、国际前列腺症状评分、男性性健康问卷-射精功能障碍评分均低于对照组,国际勃起功能指数-5高于对照组,差异有统计学意义(P均<0.05)。观察组并发症总发生率为3.92%(2/51),低于对照组的18.00%(9/50),差异有统计学意义(χ^(2)=5.156,P<0.05)。结论在前列腺增生的治疗中,与TURP治疗相比,应用PKRP治疗有助于优化患者手术指标,可改善勃起功能、射精功能与尿流动力学,提高生活质量,减轻前列腺症状,并且并发症较少。Objective To analyze the improvement effect of different surgical methods on the sexual function and prognosis of patients with benign prostatic hyperplasia.Methods 101 patients with benign prostatic hyperplasia admitted to Chifeng Hospital of Inner Mongolia Autonomous Region from April 2021 to April 2023 were non-randomly selected as the research object.According to different treatment methods,they were divided into two groups.The control group(n=50)was treated with transurethral resection of prostate(TURP),and the observation group(n=51)was treated with plasma kinetic resection of prostate(PKRP).The operation,urodynamics,quality of life,prostate symptoms,erectile function,ejaculation function and complications were compared between the two groups.Results In terms of hospitalization time,operation time,bladder irrigation time and indwelling catheter time,the observation group was shorter than the control group,and the intraoperative blood loss in the observation group was less than that in the control group,the differences were statistically significant(all P<0.05).At 7 days after operation,the residual urine volume and maximum urine flow rate in urodynamics of the observation group were better than those of the control group,and the differences were statistically significant(both P<0.05).There was no significant difference in the maximum urethral closure pressure between the two groups(P>0.05).On the 7 d after operation,the quality of life score,international prostate symptom score and male sexual health questionnaire-ejaculation dysfunction score of the observation group were lower than those of the control group,and the international erectile function index-5 was higher than that of the control group,the differences were statistically significant(all P<0.05).The total incidence of complications in the observation group was 3.92%(2/51),which was lower than 18.00%(9/50)in the control group,and the difference was statistically significant(χ^(2)=5.156,P<0.05).Conclusion In the treatment of benign prostatic hyper

关 键 词：前列腺增生 经尿道前列腺电切术 勃起功能 经尿道前列腺等离子电切术 尿流动力学 

分 类 号：R698[医药卫生—泌尿科学]