经尿道等离子前列腺切除术在良性前列腺增生中的疗效及对患者性功能的影响

doi:10.19558/j.cnki.10-1020/r.2020.01.012

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摘要 目的：探讨经尿道等离子前列腺切除术（PKRP）在良性前列腺增生（BPH）中的疗效及对患者性功能的影响。方法：将100例BPH患者随机分为PKRP组（50例,行PKRP术）和经尿道前列腺电切术（TURP）组（50例,行TURP术）。比较两组手术资料及术后并发症情况,对比两组术后生活质量评分（QOL）、国际前列腺症状评分（IPSS）、最大尿流速（Q_max）、剩余尿量（PVR）;探讨两组患者术后性功能差异。结果：PKRP组手术时间、出血量、尿管留置时间以及住院天数均小于TURP组,而PKRP组腺体切除重量则大于TURP组（P<0.05）。术后,PKRP组患者QOL评分、IPSS评分以及PVR量均小于TURP组,Q_max值则大于TURP组（P<0.05）。PKRP组术后国际勃起功能指数-5评分显著高于TURP组,PKRP组勃起障碍、逆行射精发生率则明显低于TURP组（P<0.05）。随访半年,PKRP组并发症发生率显著低于TURP组（P<0.05）。结论：与TURP相比,PKRP术治疗BPH的疗效更为确切,可有效保护患者性功能和减少并发症的发生。

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	王治国
	杨璐
	刘勇
	李金祥
	李新会

关键词 ：前列腺增生, 经尿道等离子前列腺切除术, 经尿道前列腺电切术, 性功能, 尿道功能

Abstract：Objective： To investigate the effect of plasmakinetic resection of the prostate (PKRP) in patients with benign prostatic hyperplasia (BPH) and its effect on sexual function. Methods： 100 patients with BPH were randomly divided into PKRP group (n=50 undergoing PKRP surgery) and TURP group (n=50 undergoing transurethral resection of prostate). The operative data and postoperative complications of two groups were compared. The QOL score, IPSS score, maximum urinary velocity (Q_max) and residual urine volume (PVR) were compared between two groups. The differences in postoperative sexual function between two groups were investigated. Results： The operative time, blood loss, urinary tube indwelling time and hospital stay in PKRP group were significantly reduced as compared with those in TURP group, and the weight of gland resection in PKRP group was greater than that in TURP group (P < 0.05). The QOL score, IPSS score and PVR amount in PKRP group were all lower than those in TURP group after surgery, while the Q_max value was higher in PKRP group than that in TURP group (P < 0.05). After surgery, the IIEF-5 score in PKRP group was significantly higher than that in TURP group, and the incidence of erectile dysfunction and retrograde ejaculation in PKRP group was significantly lower than that in TURP group (P < 0.05). The incidence of complications in PKRP group was significantly lower than in TURP group after half a year follow-up (P < 0.05). Conclusions： Compared with TURP, PKRP is more effective in the treatment of BPH, which can effectively protect the sexual function of patients and reduce the occurrence of complications.

Key words： prostatic hyperplasia plasmakinetic resection of the prostate transurethral resection of prostate sexual function urethral function

收稿日期: 2019-05-24

ZTFLH:

R697

通讯作者: 杨璐,lukang8410654@163.com

引用本文:

王治国, 杨璐, 刘勇, 李金祥, 李新会. 经尿道等离子前列腺切除术在良性前列腺增生中的疗效及对患者性功能的影响[J]. 微创泌尿外科杂志, 2020, 9(1): 56-61.
WANG Zhiguo, YANG Lu, LIU Yong, LI Jinxiang, LI Xinhui. Effects of plasmakinetic resection of the prostate in patients with benign prostatic hyperplasia and its effect on sexual function. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2020, 9(1): 56-61.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1568.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2020/V9/I1/56

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