| 周 俊,陈 如,马 锋,王官峰,赵大委.剥离式经尿道前列腺电切术对前列腺增生症患者性功能、尿流动力学及生活质量的影响[J].,2020,(4):784-787 |
| 剥离式经尿道前列腺电切术对前列腺增生症患者性功能、尿流动力学及生活质量的影响 |
| Effect of Stripping Transurethral Resection of Prostate on Sexual function, Urodynamics and Quality of Life in Patients with Begmgn Prostatic Hyperplasia |
| 投稿时间：2019-12-08 修订日期：2019-12-31 |
| DOI：10.13241/j.cnki.pmb.2020.04.040 |
| 中文关键词: 剥离式经尿道前列腺电切术 前列腺增生症 性功能 尿流动力学 生活质量 |
| 英文关键词: Stripping transurethral resection of prostate Begmgn prostatic hyperplasia Sexual function Urodynamics Quality of life |
| 基金项目:陕西省教育厅专项科研计划项目（17JK0867） |
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| 中文摘要: |
| 摘要 目的：探讨剥离式经尿道前列腺电切术（TURP）对前列腺增生症（BPH）患者性功能、尿流动力学及生活质量的影响。方法：回顾性分析我院2016年1月~2019年2月期间收治的267例BPH患者的临床资料，根据手术方式的不同分为A组（n=130，TURP术）和B组（n=137，剥离式TURP术），对比两组患者围术期指标、性功能、尿流动力学、生活质量及并发症发生情况。结果：两组手术时间比较无差异（P>0.05），B组膀胱冲洗时间、拔除导尿管时间、术后住院时间短于A组，术中出血量少于A组，切除组织重量多于A组（P<0.05）。两组术后6个月国际勃起功能指数-5（IIEF-5）各项评分、生活质量评分（SF-36）各维度评分均改善，且B组优于A组（P<0.05）。两组患者术后6个月最大尿流（Qmax）升高，且B组高于A组（P<0.05）；膀胱残余尿量（RU）降低，且B组低于A组（P<0.05）。B组术后并发症发生率低于A组（P<0.05）。结论：与TURP术式相比，BPH患者应用剥离式TURP可获得更好的治疗效果，在性功能、尿流动力学、生活质量等方面的改善效果确切，并发症较少。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of stripping transurethral resection of prostate (TURP) on sexual function, urodynamics and quality of life in patients with begmgn prostatic hyperplasia (BPH). Methods: The clinical data of 267 patients with BPH in our hospital from January 2016 to February 2019 were analyzed retrospectively. According to the different operation methods, they were divided into group A (n=130, TURP surgery) and group B (n=137, stripping TURP surgery). The perioperative indexes, sexual function, urodynamics, quality of life and complications were compared between the two groups. Results: There was no significant difference in operation time between the two groups (P>0.05). The bladder washing time, catheter removal time and postoperative hospital stay time in group B were shorter than those in group A, and the intraoperative hemorrhage was less than that in group A, and the excised tissue weight was more than that in group A(P<0.05). The scores of international erectile function index-5(IIEF-5) scores, quality of life scores-36(SF-36) in the two groups at 6 months after operation were improved, and those in the group B were better than those in group A (P<0.05). The maximum urine flow (Qmax) in two groups at 6 months after operation was increased, and that in the group B was higher than that in group A(P<0.05). The residual urine volume(RU) were decreased, and that in group B was lower than that in group A (P<0.05). The incidence of postoperative complications in group B was lower than that in group A(P<0.05). Conclusion: Compared with TURP surgery, patients with BPH can get better treatment effect by using the stripping TURP, with definite improvement effect in sexual function, urine flow mechanics, quality of life, etc, and it has a lower complications. |
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