改良经尿道前列腺电切除术对良性前列腺增生患者性功能及下尿路症状的临床影响分析

Impact of modified transurethral resection on the sexual function and lower urinary tract symptoms of patients with benign prostatic hyperplasia

目的:评价改良经尿道前列腺电切除术对良性前列腺增生患者性功能及下尿路症状的临床影响。方法:采用随机分组法将2012年6月至2015年6月我院收治的良性前列腺增生患者38例分成两组,各19例,试验组患者行经尿道等离子双极前列腺电切术治疗,对照组患者行经尿道前列腺电切除术,比较两组患者术后6个月、9个月IPSS评分,术后9个月勃起功能障碍、精液减少、逆行射精发生率的差异。结果:试验组患者术后6个月、9个月的IPSS评分为(10.21±3.28)分、(3.64±1.03)分,对照组患者术后6个月、9个月IPSS评分为(11.04±3.83)分、(4.12±1.93)分,两组患者术后IPSS评分均显著低于术前(P<0.05),两组患者组间差异无统计学意义(P>0.05)。试验组患者术后9个月发生1例勃起功能障碍,2例精液减少,2例逆行射精,发生率分别为5.26%、10.53%和10.53%,均显著低于对照组(P<0.05)。结论:改良后的经尿道等离子双极前列腺电切术与传统经尿道前列腺电切除术相比,治疗效果相当,经尿道等离子双极前列腺电切术对患者性功能的影响更小,安全性更好,值得临床推广。

Objectives： To evaluate the postoperative sexual function and lower urinary tract symptoms of patients having received transurethral resection of the prostate（ TURP） and plasma kinetic vaporization of the prostate（ PKRP） for benign prostatic hyperplasia（ BPH）. Methods： 38 BPH patients who were treated in our hospitals from June 2012 to June 2015 were selected and divided into two groups randomly,19 cases in each group. The study group was given plasma kinetic vaporization of the prostate surgery,and the control group was given transurethral resection of the transurethral resection. The IPSS score 6 and 9 month after surgery between the two groups and the incidence of erectile dysfunction,retrograde ejaculation and ejaculation reduce was compared. Results： Compared with preoperative,the IPSS score 6 months and 9 months after operation in both groups decreased,with statistically significant difference（ P〈 0. 05）,but the difference in the IPSS scores was not significant between the two groups（ P〉 0. 05）. In the study group,there was a case of erectile dysfunction,two retrograde ejaculation and two ejaculation decrease,an incidence of 5. 26%,10. 53% and 10. 53% respectively,which were significantly lower than the control group（ P〈 0. 05）. Conclusion： The modified PKRP is as effective as TURP,with less impact on patients＇ sexual function and better safety,which is worthy of application in clinical.