摘要
目的探讨肾造瘘球囊扩张导管联合等离子治疗男性单纯性后尿道狭窄对勃起功能的影响。方法选取2017年2月至2018年5月承德医学院附属医院收治的45例后尿道狭窄患者作为研究对象。用数表法将这45例患者随机分为联合组(23例)和对照组(22例),联合组应用肾造瘘球囊扩张导管联合等离子治疗,对照组应用尿道狭窄段切除端端吻合术治疗,对比两组患者临床指标。结果联合组住院时间、尿管冲洗时间、术中出血量、手术时间均低于对照组,差异具有统计学意义(P<0.05);术前及术后1月、术后3月,联合组最大尿流率(Qmax)、平均尿流率与对照组差异无统计学意义(P﹥0.05);术前,联合组PSV、EDV、RI、勃起频率、阴茎头最大勃起硬度、勃起持续时间、IIEF-5评分、勃起功能障碍发生率与对照组差异无统计学意义(P﹥0.05);术后6月,联合组PSV、RI高于对照组,差异具有统计学意义(P<0.05),联合组EDV低于对照组,差异具有统计学意义(P<0.05);术后1年,联合组勃起频率与对照组差异无统计学意义(P﹥0.05),联合组阴茎头最大勃起硬度、勃起持续时间、IIEF-5评分均高于对照组,差异具有统计学意义(P<0.05),联合组勃起功能障碍发生率低于对照组,差异具有统计学意义(P<0.05)。结论肾造瘘球囊扩张导管联合等离子术治疗男性单纯性后尿道狭窄可以有效改善术后排尿功能的同时对勃起功能有保护作用。
Objective To investigate the influence of treating male simple posterior urethral stricture through renal fistula balloon dilation catheter combined with plasma on erectile function.Methods Total of 45 male patients with posterior urethral stricture admitted in Affiliated Hospital of Chengde Medical College from February 2017 to may 2018 were selected as research subjects.The 45 patients were randomly divided into combined group(23 cases)and control group(22 cases)by number table method.The combined group was treated with renal fistula balloon dilatation catheter combined with plasma,while the control group was treated with resection of urethral stricture segment and end-to-end anastomosis.The clinical indicators were compared between the two groups.Results The hospitalization time,duration of urethral tube irrigation,intraoperative blood loss and operation time of the combined group were all lower than those of the control group.The differences were statistically significant(all P<0.05).The Qmax and average urine flow rates recorded respectively before the treatment,1 month after the treatment and 3 months after the treatment were of no statistical significant difference between the two groups(P>0.05).Before the treatment,the PSV,EDV,RI,frequency of erection,maximum erectile hardness of the penile head,erectile duration,IIEF-5 score and the incidence of erectile dysfunction were of no statistically significant differences between the two groups(P﹥0.05).Six months later,the PSV and RI of the combined group were higher than those of the control group.The differences were statistically significant(P<0.05).The EDV of the combined group was lower than that of the control group.The difference was statistically significant(P<0.05).One year after the treatment,there was no statistical difference between the two group in erectile frequency(P>0.05).The maximum erectile hardness of the penile head,erectile duration and IIEF-5 score of the combined group were higher than those of the control group.The differenceswere statistically significant(P<0.05).The incidence of erectile dysfunction of the combined group was lower than that of the control group.The difference was statistically significant(P<0.05).Conclusions Treatment of male simple posterior urethral stricture through renal fistula balloon dilation catheter combined with plasma can effectively improve postoperative urinary function and protect erectile function.
作者
王泽民
李静
王志勇
于满
王海龙
李俊鹏
迟强
WANG Zemin;LI Jing;WANG Zhiyong;YU Man;WANG Hailong;LI Junpeng;CHI Qiang(Department of Urology,Affiliated Hospital of Chengde Medical College,Chengde 067000,Hebei,China;Department of Ultrasound,Affiliated Hospital of Chengde Medical College,Chengde 067000,Hebei,China)
出处
《中国性科学》
2019年第8期25-28,共4页
Chinese Journal of Human Sexuality
基金
2017年河北省承德市科学技术研究与发展计划项目(201701A058)
关键词
肾造瘘球囊扩张导管
等离子
尿道狭窄
勃起功能
Renal fistula balloon dilated catheter
Plasma
Urethral stricture
Erectile function