本文選題：前列腺增生 + 性功能��； 參考：《東南大學學報(醫(yī)學版)》2017年06期

【摘要】：目的:探討不同術式治療前列腺增生癥對男性性功能的影響。方法:以我院收治的120例前列腺增生患者作為研究對象,其中60例行尿道前列腺電切術為對照組,60例行尿道等離子前列腺剜除術為觀察組。比較兩組患者的手術情況,治療前后前列腺癥狀評分(IPSS)、生活質(zhì)量評分(QOL)、最大尿流率(Q_(max)),性功能指標及術后射精情況。結果:兩組術中出血量、術后膀胱沖洗時間、留置尿管時間及住院時間、陰莖海綿體神經(jīng)受損、電切高溫損傷周圍組織及膀胱頸完整性受損等比較,差異均有統(tǒng)計學意義(P0.05);兩組患者治療前后IPSS、QOL、Q_(max)及性功能指標[國際勃起功能指數(shù)(ILEF-5)、相互滿意度、勃起功能、性欲、性高潮滿意度及總體滿意度]比較,差異均有統(tǒng)計學意義(P0.05)。治療后觀察組上述指標改善優(yōu)于對照組(P0.05);術后陽痿發(fā)生率觀察組低于對照組,差異有統(tǒng)計學意義(P0.05);兩組精液量及逆行射精比較,差異無統(tǒng)計學意義(P0.05)。結論:經(jīng)尿道等離子前列腺剜除術治療前列腺增生效果好,術后恢復快,臨床癥狀明顯緩解,對術后性功能影響小,臨床上值得推廣。
[Abstract]:Objective: to investigate the effect of different surgical methods on male sexual function in the treatment of benign prostatic hyperplasia (BPH). Methods: 120 cases of benign prostatic hyperplasia (BPH) were treated in our hospital. Among them, 60 cases were treated as control group, 60 cases were treated with plasma enucleation of prostate. The operation conditions of the two groups were compared. The prostatic symptom score (IPSS), the quality of life score (QOLN), the maximal urinary flow rate (MUF), the sexual function index and the postoperative ejaculation were compared between the two groups. Results: the amount of blood lost during operation, the time of bladder washing after operation, the time of indwelling urinary catheter and the time of hospitalization, the injury of cavernous nerve of penis, the damage of tissue around the injury of high temperature and the integrity of bladder neck were compared between the two groups. There were significant differences between the two groups before and after treatment (IPSS QOLQO / Q max) and sexual function index [International erectile function Index (ILEF-5), mutual satisfaction, erectile function, sexual desire, orgasm satisfaction and total satisfaction]. After treatment, the improvement of the above indexes in the observation group was better than that in the control group (P 0.05), the incidence of impotence in the observation group was lower than that in the control group, and the difference was statistically significant (P 0.05). Conclusion: transurethral plasma enucleation of the prostate is effective in the treatment of benign prostatic hyperplasia with rapid recovery and obvious relief of clinical symptoms. It has little effect on sexual function after operation and is worth popularizing clinically.
【作者單位】： 黔西南州人民醫(yī)院泌尿外科;
【分類號】：R699.8
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本文編號：1961038