摘要
目的:探究良性前列腺增生(benign prostatic hyperplasia,BPH)患者采用经尿道等离子前列腺切除术(transurethral plasmakinetic prostatectomy,TUPKP)治疗对其性生活状况的影响。方法:选择2011年2月至2014年2月期间来我院治疗的198例BPH患者为研究对象,采用随机数字表法分为实验组和对照组,分别为100例与98例。实验组患者采用TUPKP术进行治疗,对照组患者给予经尿道前列腺电切术(TURP)治疗,比较两组患者术前、术后6个月、12个月的国际前列腺症状评分(IPSS)、生活质量指数评分(QOL)以及国际勃起功能指数评分简表(IIEF-5)评分的变化;观察两组患者术前、术后射精状况的差异。结果:治疗前,两组患者的IPSS评分、QOL评分无差异性(P>0.05);两组患者在术后6、12个月的IPSS评分和QOL评分均较术前显著降低(P<0.05),但两组患者之间比较,术后6、12个月的评分无差异性(P>0.05);治疗前,两组患者的IIEF-5评分差异性较小(P>0.05);两组患者在术后6、12个月的IIEF-5评分均较治疗前降低(P<0.05),且实验组患者的IIEF-5评分较对照组降低更为明显,具有统计学意义(P<0.05);经过手术治疗,实验组患者发生ED状况的例数显著低于对照组患者,具有明显差异性(P<0.05);在精量增加、精量减少、逆行射精、射精疼痛等状况,两组患者差异性较小(P>0.05)。结论:TUPKP治疗BPH患者,能够显著降低IIEF-5评分、IPSS评分以及QOL评分,减少阴茎勃起功能障碍状况的发生,对患者的术后性生活影响较经尿道前列腺电切术小,是一种令BPH患者满意的治疗方法。
Objectives： To explore the impact of plasmakinetic resection of the prostate（ PRP） on the sexual life of patients with benign prostatic hyperplasia. Methods： 198 benign prostatic hyperplasia patients in our hospital from February 2011 to February 2014 were selected and randomly divided into experimental group（ n = 100）and control group（ n = 98）. The experimental group was treated with PRP while the control group was treated with transurethral resection of the prostate（ TURP）. The changes in the score of international prostate symptom score（ IPSS）,quality of life（ QOL） and the International Index of Erectile Function（ IIEF- 5） before the surgery,6months and 12 months after the surgery was compared,and the ejaculation condition before and after the surgery was observed. Results： Before treatment,difference in the IPSS score and QOL score between the two groups was not significant（ P〉0. 05）; the IPSS score and QOL scores 6 and 12 months after surgery was significantly lower than those before treatment（ P〈0. 05）,without significant difference between the two groups（ P〉0. 05）. Before treatment,difference in IIEF- 5 score between the two groups was small（ P〉0. 05）,and the IIEF- 5 scores 6and 12 months after treatment was significantly lower（ P〈0. 05）,especially that in the experimental group,with statistical significance（ P〈0. 05）. After treatment,the number of ED patients in the experimental group was significantly lower than the control group,with significant difference（ P〈0. 05）. Difference in the ejaculate volume,retrograde ejaculation,ejaculation pain and other conditions between the two groups was not significant（ P〉0. 05）. Conclusion： Transurethral plasma prostatectomy treating BPH patients can significantly reduce the IIEF- 5score,IPSS score and QOL score as well as the incidence of erectile dysfunction. With small effect on the sexual life of patients,it is a satisfactory treatment method of benign prostatic hyperplasia.
出处
《中国性科学》
2016年第7期21-24,共4页
Chinese Journal of Human Sexuality
