摘要
目的探讨前列腺超声波治疗前列腺结石的临床效果。方法前列腺结石病人68例,根据最终选取的治疗方式分为观察组(36例)和对照组(32例)。观察组给予超声电导微波治疗,对照组给予常规治疗,观察两组治疗前后前列腺结石大小、国际勃起功能指数-5评分(IIEF-5)等。结果观察组治疗后1个月、3个月前列腺结石大小分别为(23. 10±3. 82) mm和(17. 82±1. 82) mm,低于对照组(P <0. 05);观察组治疗后1个月、3个月IIEF-5评分分别为(16. 29±2. 70)分和(13. 82±1. 91)分,明显低于对照组(P <0. 05);观察组治疗后1个月、3个月最大尿流率分别为(8. 72±0. 98)ml/s和(14. 10±1. 21)ml/s,高于对照组(P <0. 05),而残余尿量分别为(40. 02±3. 82) ml和(16. 90±2. 20) ml,明显低于对照组(P <0. 05);观察组治疗后1个月、3个月前列腺特异性抗原(PSA)分别为(7. 28±1. 20)μg/L和(1. 65±0. 98)μg/L,明显低于对照组(P <0. 05)。结论超声电导微波治疗前列腺结石有较好的效果,有利于改善病人性功能、排尿功能。
Objective To explore the clinical effect of prostate ultrasound in treating prostatic calculus. Methods 68 patients with prostatic calculi were divided into observation group( n = 36) and control group( n = 32) according to the final treatment,the observation group was given ultrasonic conductive microwave therapy,while the control group was given conventional treatment,the size of prostate stones and the International Erectile Function Index-5 score and so on were observed before and after treatment. Results 1 and 3 months after treatment,the size of prostate stones in the observation group were(23. 10 ± 3. 82) mm2 and(17. 82 ± 1. 82) mm2,which were significantly lower than those in the control group( P < 0. 05). The IIEF-5 scores of the observation group at 1 month and 3 months after treatment were(16. 29 ± 2. 70) and(13. 82 ± 1. 91),which were significantly lower than those of the control group(P < 0. 05);The maximal urinary flow rate at 1 month and 3 months after treatment in the observation group were(8. 72 ± 0. 98) ml/s and(14. 10 ± 1. 21) ml/s,were significantly higher than that in the control group( P < 0. 05),while the residual urine volume was(40. 02 ± 3. 82) ml and(16. 90 ± 2. 20) ml,were significantly lower than that in the control group( P < 0. 05);The PSA of the observation group at 1 month and 3 months after treatment were(7. 28 ± 1. 20) μg/L and(1. 65 ± 0. 98) μg/L,were significantly lower than that of the control group( P < 0. 05). Conclusion Ultrasound-guided microwave treatment of prostate stones has a better effect,is conducive to improving sexual function,uresis function.
作者
李智
卫中庆
王振中
赵启群
杨健
LI Zhi;WEI Zhongqing;WANG Zhenzhong(Department of Urology,Second Affiliated Hospital of Nanjing Medical University,Nanjing 210000,China)
出处
《临床外科杂志》
2019年第2期118-120,共3页
Journal of Clinical Surgery
关键词
超声电导微波治疗
前列腺结石
性功能
排尿功能
ultrasound guided microwave therapy
prostatic calculus
sexual function
uresis function
