[1]吴 洋.不同手术方式治疗良性前列腺增生的效果[J].医学信息,2022,35(03):109-111.[doi:10.3969/j.issn.1006-1959.2022.03.026]
　WU Yang.Effect of Different Surgical Methods in the Treatment of Benign Prostatic Hyperplasia[J].Medical Information,2022,35(03):109-111.[doi:10.3969/j.issn.1006-1959.2022.03.026]
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不同手术方式治疗良性前列腺增生的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年03期
页码:
109-111
栏目:
论著
出版日期:
2022-02-01

文章信息/Info

Title:
Effect of Different Surgical Methods in the Treatment of Benign Prostatic Hyperplasia
文章编号:
1006-1959（2022）03-0109-03
作者:
吴 洋
如东县中医院外科，江苏 如东 226400
Author(s):
WU Yang
Department of Surgery,Rudong County Hospital of Traditional Chinese Medicine,Rudong 226400,Jiangsu,China
关键词:
良性前列腺增生; 经尿道前列腺等离子电切术; 经尿道前列腺等离子剜除术; 性功能; 尿流动力学
Keywords:
Benign prostatic hyperplasia; Transurethal plasmakinetic resection of the prostate; Transurethral plasmakinetic enucleation of prostate; Sexual function; Urodynamics
分类号:
R699.8
DOI:
10.3969/j.issn.1006-1959.2022.03.026
文献标志码:
A
摘要:
目的 观察不同手术方式治疗良性前列腺增生（BPH）的临床效果及对性功能的影响。方法 回顾性分析2019年1月-2021年1月我院收治的82例BPH患者资料，依据手术方案的不同分为对照组与观察组，每组41例。对照组行经尿道前列腺等离子电切术（PKRP）治疗，观察组行经尿道前列腺等离子剜除术（PKEP）治疗，比较两组围术期指标、尿流动力学指标[最大尿流量（Qmax）、最大尿意膀胱容量（VMCC）、残余尿量（PVR）]、手术并发症、国际勃起功能指数（ILEF-5）评分、术后射精功能障碍发生率。结果 观察组手术时间、留置导尿管时间以及术后住院时间短于对照组，前列腺切除质量大于对照组，差异有统计学意义（P＜0.05）；两组Qmax、VMCC、PVR比较，差异无统计学意义（P＞0.05）；观察组手术并发症总发生率为7.32%，低于对照组的24.39%，差异有统计学意义（P＜0.05）；观察组ILEF-5评分高于对照组，差异有统计学意义（P＜0.05）；观察组术后射精障碍总发生率为24.39%，低于对照组的41.46%，差异有统计学意义（P＜0.05）。结论 PKRP与PKEP对BPH疾病的近期疗效类似，二者均可有效改善患者的尿流动力学，但PKEP手术时间更短、切除组织更多、术后恢复更快，且术后并发症少，对患者性功能的影响较小。
Abstract:
Objective To observe the clinical effects of different surgical treatments for benign prostatic hyperplasia (BPH) and its influence on sexual function.Methods The data of 82 patients with BPH admitted to our hospital from January 2019 to January 2021 were retrospectively analyzed. According to the different surgical plans, they were divided into control group and observation group, with 41 cases in each group. The control group was treated with transurethal plasmakinetic resection of the prostate (PKRP), and the observation group was treated with transurethral plasmakinetic enucleation of prostate (PKEP). The perioperative indexes, urodynamic indexes [maximum urinary flow (Qmax), maximum urinary bladder capacity (VMCC), residual urine volume (PVR)], surgical complications, International Index of Erectile Function (IIEF-5) score, and postoperative ejaculation dysfunction were compared between the two groups.Results The operation time, indwelling catheter time and the incidence raw of postoperative hospital stay in the observation group were shorter than those in the control group, and the quality of prostatectomy was greater than that in the control group, the differences were statistically significant (P<0.05). There was no significant difference in Qmax, VMCC and PVR between the two groups (P>0.05). The total incidence of surgical complications in the observation group was 7.32%, which was lower than 24.39% in the control group, and the difference was statistically significant (P<0.05). The ILEF-5 score of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). The total incidence of postoperative ejaculation disorder in the observation group was 24.39%, which was lower than 41.46% in the control group, and the difference was statistically significant (P<0.05).Conclusion The short-term efficacy of PKRP and PKEP on BPH is similar. Both of them can effectively improve the urodynamics of patients, but PKEP has shorter operation time, more resected tissues, faster postoperative recovery, fewer postoperative complications, and less impact on patients’ sexual function.

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更新日期/Last Update: 1900-01-01