| 吴宗林1 夏术阶2△ 耿和1.等离子经尿道前列腺电切对患者生活质量的影响[J].,2012,12(1):115-119 |
| 等离子经尿道前列腺电切对患者生活质量的影响 |
| Effects of Transurethral Resection of Prostate and Plasmakinetic Resectionof Prostate on Patients' Health Related Quality of Life |
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| DOI： |
| 中文关键词: 前列腺增生 经尿道前列腺电切 生活质量 |
| 英文关键词: Prostatic hyperplasia Transurethral resection of prostate Quality of life |
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| 中文摘要: |
| 目的：探讨等离子经尿道前列腺电切（PKRP）和常规经尿道前列腺电切（TURP）对良性前列腺增生（BPH）患者生活质量的影
响。方法：采取前瞻性随机对照的方法将105 名需要手术治疗的BPH 患者随机分成二组：即TURP 组51 例，PKRP 组54 例。使用
IPSS、QOL 和WHOQOL-BREF 量表，分别在术前、术后第1、6 和12 个月对患者的LUTS 和生活质量进行评估。结果：TURP 组和
PKRP 组患者的生活质量在术后6 个月得到明显改善。TURP 组术后第6 个月的IPSS、QOL 和WHOQOL-BREF 评分分别为
10.4±2.6, 1.7±0.6 和55.1±7.4，术后第12 个月的IPSS、QOL 和WHOQOL-BREF 评分分别为11.4±2.6, 1.7±0.5 和55.2±6.9，
均比术前（21.5±5.3, 5.3±0.9 和52.4±7.0） 有明显改善。PKRP 组术后第6 个月的IPSS、QOL 和WHOQOL-BREF 评分分别为
9.8±2.4, 1.5±0.4 和57.9±8.1，术后第12 个月的IPSS、QOL 和WHOQOL-BREF 评分分别为10.6±2.2, 1.7±0.5 和56.3±6.2，均
比术前（21.3±6.1, 5.2±1.0 和55.0±8.8）有明显改善。结论：TURP 和PKRP 术后第6 个月患者的生活质量得到持续改善，WHOQOL-
BREF 可以作为评价TURP 和PKRP 对BPH 患者生活质量影响的可靠测量工具。 |
| 英文摘要: |
| Objective: To investigate the effects of transurethral resection of prostate and plasmakinetic resection of prostate on
health related quality of life (HRQOL) and urinary symptoms in patients with benign prostatic hyperplasia (BPH). Methods: In this
prospective randomized study, 105 patients with BPH were recruited. 51 patients underwent TURP and 54 patients underwent PKRP. Patients
completed two validated questionnaires: the International Prostate Symptom Score (IPSS) and the associated QOL index. These
were completed preoperatively, at 1, 6, and 12 months postoperatively. Results: The HRQOL of patients who underwent TURP and
PKRP for BPH had significantly improved 6 months after their operation. The IPSS Scores, QOL index and total WHOQOL-BREF
scores at 6 months (10.4±2.6, 1.7±0.6, 55.1±7.4), and 12 months (11.4±2.6, 1.7±0.5, 55.2±6.9) improved than that in preoperative
(21.5±5.3, 5.3±0.9, 52.4±7.0) in TURP group. IPSS Scores, QOL index and total WHOQOL-BREF scores at 6 months (9.8±2.4, 1.5
± 0.4, 57.9±8.1), and 12 months (10.6±2.2, 1.7±0.5, 56.3±6.2) improved than that in preoperative (21.3±6.1, 5.2±1.0, 55.0±8.8)
in PKRP group respectively. Conclusions: Improvement in HRQOL was observed 6 months after TURP and PKRP in patients with BPH.
This study demonstrates that the WHOQOL-BREF is a suitable HRQOL instrument for older people with BPH accepted TURP and
PKRP procedures. |
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