不同术式治疗前列腺增生症对男性性功能影响的对比研究

发布时间：2018-05-31 19:38

  本文选题：前列腺增生 + 性功能　； 参考：《东南大学学报(医学版)》2017年06期

【摘要】：目的:探讨不同术式治疗前列腺增生症对男性性功能的影响。方法:以我院收治的120例前列腺增生患者作为研究对象,其中60例行尿道前列腺电切术为对照组,60例行尿道等离子前列腺剜除术为观察组。比较两组患者的手术情况,治疗前后前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Q_(max)),性功能指标及术后射精情况。结果:两组术中出血量、术后膀胱冲洗时间、留置尿管时间及住院时间、阴茎海绵体神经受损、电切高温损伤周围组织及膀胱颈完整性受损等比较,差异均有统计学意义(P0.05);两组患者治疗前后IPSS、QOL、Q_(max)及性功能指标[国际勃起功能指数(ILEF-5)、相互满意度、勃起功能、性欲、性高潮满意度及总体满意度]比较,差异均有统计学意义(P0.05)。治疗后观察组上述指标改善优于对照组(P0.05);术后阳痿发生率观察组低于对照组,差异有统计学意义(P0.05);两组精液量及逆行射精比较,差异无统计学意义(P0.05)。结论:经尿道等离子前列腺剜除术治疗前列腺增生效果好,术后恢复快,临床症状明显缓解,对术后性功能影响小,临床上值得推广。
[Abstract]:Objective: to investigate the effect of different surgical methods on male sexual function in the treatment of benign prostatic hyperplasia (BPH). Methods: 120 cases of benign prostatic hyperplasia (BPH) were treated in our hospital. Among them, 60 cases were treated as control group, 60 cases were treated with plasma enucleation of prostate. The operation conditions of the two groups were compared. The prostatic symptom score (IPSS), the quality of life score (QOLN), the maximal urinary flow rate (MUF), the sexual function index and the postoperative ejaculation were compared between the two groups. Results: the amount of blood lost during operation, the time of bladder washing after operation, the time of indwelling urinary catheter and the time of hospitalization, the injury of cavernous nerve of penis, the damage of tissue around the injury of high temperature and the integrity of bladder neck were compared between the two groups. There were significant differences between the two groups before and after treatment (IPSS QOLQO / Q max) and sexual function index [International erectile function Index (ILEF-5), mutual satisfaction, erectile function, sexual desire, orgasm satisfaction and total satisfaction]. After treatment, the improvement of the above indexes in the observation group was better than that in the control group (P 0.05), the incidence of impotence in the observation group was lower than that in the control group, and the difference was statistically significant (P 0.05). Conclusion: transurethral plasma enucleation of the prostate is effective in the treatment of benign prostatic hyperplasia with rapid recovery and obvious relief of clinical symptoms. It has little effect on sexual function after operation and is worth popularizing clinically.
【作者单位】： 黔西南州人民医院泌尿外科;
【分类号】：R699.8
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本文编号：1961038