| 张 君,任承德,陈国俊,陶 涛,王明岗.经尿道前列腺等离子剜除术对大体积前列腺增生患者尿动力学、性功能及生活质量的影响[J].,2020,(21):4172-4176 |
| 经尿道前列腺等离子剜除术对大体积前列腺增生患者尿动力学、性功能及生活质量的影响 |
| Effects of Transurethral Plasma Enucleation of Prostate on Urodynamics, Sexual Function and Quality of Life in Patients with Massive Prostatic Hyperplasia |
| 投稿时间：2020-01-29 修订日期：2020-02-25 |
| DOI：10.13241/j.cnki.pmb.2020.21.039 |
| 中文关键词: 经尿道前列腺等离子剜除术 大体积 前列腺增生 尿动力学 性功能 生活质量 |
| 英文关键词: Transurethral plasma enucleation of prostate Massive prostatic hyperplasia Urodynamics Sexual function Quality of life |
| 基金项目:青海省卫计委医药卫生指导性项目（2017-wjzdx-265） |
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| 中文摘要: |
| 摘要 目的：探讨经尿道前列腺等离子剜除术（TUERP）对大体积前列腺增生（BPH）患者尿动力学、性功能及生活质量的影响。方法：回顾性分析我院2016年4月~2019年1月期间收治的118例大体积BPH患者的临床资料，根据手术方式的不同分为经尿道前列腺电切术（TURP）组（n=57，给予TURP治疗）和TUERP组（n=61，给予TUERP治疗），比较两组患者围术期指标、尿动力学、性功能及生活质量，记录两组患者术后并发症发生情况。结果：TUERP组膀胱冲洗时间、手术时间、尿管留置时间短于TURP组，术中出血量少于TURP组（P<0.05）；TUERP组前列腺膀胱组织切除量多于TURP组（P<0.05）。两组患者术后6个月最大尿流（Qmax）及生理功能、躯体疼痛、社会功能、情感职能、总体健康、生理职能、活力和精神健康等评分升高，且TUERP组高于TURP组（P<0.05）；残余尿量（PVR）降低，且TUERP组低于TURP组（P<0.05）。TUERP组术后并发症发生率低于TURP组（P<0.05）。TUERP组术后6个月勃起功能障碍、逆行射精占比低于TURP组（P<0.05）。结论：TUERP治疗大体积BPH，可有效改善患者围术期指标、尿动力学、性功能及生活质量，同时还可减少并发症发生率，临床应用价值较高。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of transurethral plasma enucleation of prostate (TUERP) on urodynamics, sexual function and quality of life in patients with massive prostatic hyperplasia (BPH). Methods: The clinical data of 118 patients with BPH in our hospital from April 2016 to January 2019 were analyzed retrospectively. According to the different operation methods, they were divided into transurethral resection of prostate(TURP) group (n=57, TURP treatment) and TURP group (n=61, TURP treatment). The perioperative indexes, urodynamics, sexual function and quality of life of the patients in the two groups were compared, and the results were recorded Occurrence of the disease. Results: The bladder washing time operation time and catheter retention time of tuerp group were shorter than those of TURP group, and the amount of intraoperative bleeding was less than that of TURP group (P<0.05); the amount of prostatectomy and bladder tissue resection of tuerp group was more than that of TURP group (P<0.05). The maximum urinary flow(Qmax), scores of physiological function, physical pain, social function, emotional function, general health, physiological function, vitality and mental health were increased in the two groups 6 months after operation, and the score of TUPR group was higher than that of TURP group (P<0.05); the residual urine volume (PVR) was decreased, and the score of TUPR group was lower than that of TURP group (P<0.05). The incidence of postoperative complications in TURP group was lower than that in TURP group (P<0.05). The number of erectile dysfunction and retrograde ejaculation in the TUPR group was lower than that in the TURP group (P<0.05). Conclusion: compared with TURP, TURP can effectively improve the perioperative indexes, urodynamics, sexual function and quality of life of patients with BPH, reduce the incidence of complications, and have higher clinical application value. |
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