经尿道柱状水囊前列腺扩裂术对良性前列腺增生症患者尿道功能及性功能的影响

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摘要目的探讨经尿道柱状水囊前列腺扩裂术对良性前列腺增生症患者尿道功能及性功能的影响。方法选取2017年5月～2019年7月入住重庆市合川区人民医院泌尿外科的96 例老年良性前列腺增生症患者，依据随机数字表法分为对照组（n=48）和观察组（n=48）。对照组采用经尿道双极等离子前列腺电切术进行治疗，观察组采用经尿道柱状水囊前列腺扩裂术进行治疗。比较两组患者的手术时间、术中出血量、住院时间、术后留置尿管时间、持续膀胱冲洗时间、残余尿量（RUV）、最大尿流率（Qmax）、生活质量评分（QOL）、前列腺症状评分（IPSS）、国际勃起功能指数评分（IIEF-5）及性功能改善情况。结果观察组的手术时间、住院时间、留置尿管时间以及持续膀胱冲洗时间均短于对照组，术中出血量少于对照组（P＜0.05）。两组患者术后的IPSS、QOL、RUV 低于术前，Qmax 高于术前（P＜0.05）。两组患者术后的IPSS、QOL、RUV、Qmax 比较，差异无统计学意义（P＞0.05）。观察组患者术后的IIEF-5评分优于对照组，且术后的阴茎勃起硬度下降、性功能减退和逆行射精发生率低于对照组（P＜0.05）。结论经尿道柱状水囊前列腺扩裂术能够改善良性前列腺增生症患者的治疗效果，并发症少，术后恢复快，能够最大可能地保留患者性功能，提高患者生活质量，是治疗良性前列腺增生症的较好选择。

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	张思州
	徐世田
	潘俊呈
	黄小龙

关键词 ：经尿道柱状水囊前列腺扩裂术, 良性前列腺增生症, 尿道功能, 性功能

Abstract：Objective To explore the influence of transurethral columnar balloon dilation of prostate on urethral function and sexual function in patients with benign prostatic hyperplasia.Methods A total of 96 elderly patients with benign prostatic hyperplasia admitted to the Department of Urology of People′s Hospital of Hechuan District in Chongqing City from May 2017 to July 2019 were selected and divided into the control group(n=48)and the observation group(n=48)according to random number table method.The control group was treated with transurethral plasmakinetic resection of prostate,and the observation group was treated with transurethral columnar balloon dilation of prostate.The operation time,intraoperative blood loss,hospitalization time,postoperative indwelling catheter time,continuous bladder irrigation time,residual urine volume(RUV),maximum urinary flow rate(Qmax),quality of life(QOL)score,international prostate symptom score(IPSS),international erectile function index(IIEF-5)and sexual function improvement were compared between the two groups.Results The operation time,hospitalization time,indwelling catheter time and continuous bladder irrigation time in the observation group were shorter than those in the control group,and the amount of bleeding during operation in the observation group was less than that in the control group,and the differences were statistically significant(P＜0.05).The RUV,QOL and IPSS scores of the two groups after operation were lower than those before operation,and the Qmax of the two groups after operation was higher than that before operation(P＜0.05).There were no significant differences in IPSS,QOL,RUV and Qmax between the two groups after operation(P＞0.05).The IIEF-5 score of the observation group after operation was better than that of the control group,and the incidence rates of erectile rigidity,sexual dysfunction and retrograde ejaculation of the observation group after operation were lower than those of the control group(P＜0.05).Conclusion Transurethral columnar balloon dilation of prostate can improve the therapeutic effect of patients with benign prostatic hyperplasia,with less damage and quicker recovery.It is helpful for retention of male sexual function,and improve the patients quality of life,so it can be used for a better choice in the trement of patients with benign prostatic hyperplasia.

Key words： Transurethral columnar balloon dilation of prostate Benign prostatic hyperplasia Urethral function Sexual function

引用本文:

张思州；徐世田；潘俊呈；黄小龙. 经尿道柱状水囊前列腺扩裂术对良性前列腺增生症患者尿道功能及性功能的影响[J]. 中国当代医药, 2021, 28(13): 112-115.
ZHANG Si-zhou；XU Shi-tian；PAN Jun-cheng；HUANG Xiao-long. Influence of transurethral columnar balloon dilation of prostate on urethral function and sexual function in patients with benign prostatic hyperplasia. 中国当代医药, 2021, 28(13): 112-115.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I13/112

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