摘要
目的:研究经尿道前列腺等离子双极电切术(PKRP)治疗良性前列腺增生(BPH)的效果及对患者性功能的影响。方法:选取2016年4月至2017年4月武汉市金银潭医院诊治的90例BPH患者为研究对象,按照数字表法将其随机分为观察组和对照组,每组45例患者。观察组患者采用PKRP治疗,对照组患者采用经尿道前列腺电切术(TURP)治疗。比较两组患者所用的手术时间、留置导尿管时间、术中出血量、术后不良反应;比较两组患者手术前后最大尿流率(Qmax)、残余尿量(RUV)、国际勃起功能评分5项(IIEF-5)以及生活质量指数(QOL)评分。结果:与对照组相比,观察组患者需要的手术时间少,留置导尿管时间短,术中出血量少(P <0. 05);术后观察组患者的不良反应发生率(11. 1%)小于对照组患者(33. 3%);手术后观察组患者Qmax、RUV与对照组患者相比有显著改善(P <0. 05),IIEF-5评分高于对照组患者,QOL评分低于对照组患者(P <0. 05)。结论:与TURP相比,采用PKRP治疗良性前列腺增生效果更为显著,不良反应发生率较低,对性功能的影响也比较小,值得临床推广。
Objective:To study the effect of transurethal plasmakenitic resection of prostate(PKRP)on the treatment of benign prostatic hyperplasia(BPH),and to study its effect on sexual function.Methods:Ninety BPH patients who treated in Wuhan Jinyintan Hospital from April 2016 to April 2017 were selected,and the patients were randomly divided into the observation group(n=45)and the control group(n=45).The patients in the observation group were treated with PKRP,and the patients in the control group were treated with transurethrue resection of prostate(TURP).The operation time,indwelling catheter time,intraoperative blood loss and postoperative adverse reactions of two groups were compared.The maximum urinary flow rate(Qmax)before and after operation,residual urine volume(RUV)changes,the International Index of Erectile Function score 5(IIEF-5)and quality of life index(QOL)score of two groups were comparatively analyzed.Results:Compared with the control group,the operation time in the observation group was less,and the indwelling catheter time was short,the intraoperative blood loss was less(P<0.05).The incidence of postoperative complications in the observation group(11.1%)was smaller than that in the control group(33.3%).The Qmax and RUV in the observation group was improved significantly compared with the control group(P<0.05).The IIEF score in the observation group was higher than that in the control group,and the QOL score in the observation group was lower than that in the control group(P<0.05).Conclusions:Compared with TURP,the effect of PKRP in the treatment of BPH is more significant,the incidence of adverse reactions is more lower,and the impact on sexual function is also smaller.
作者
张绍斌
龚杰
ZHANG Shaobin;GONG Jie(Department of General Surgery,Wuhan Jinyintan Hospital,Wuhan 430023,Hubei,China;Department of Urology,Wuhan Iron and Steel(Group)Company Staff Hospital,Wuhan 430083,Hubei,China)
出处
《中国性科学》
2018年第12期18-20,共3页
Chinese Journal of Human Sexuality
基金
湖北省卫生厅科研基金指导性项目(JX2C06)
关键词
经尿道前列腺等离子双极电切术
良性前列腺增生
性功能
Transurethal plasmakenitic resection of prostate
Benign prostatic hyperplasia
Sexual function
