经尿道双极等离子前列腺剜除术对前列腺增生患者尿流动力学及性功能的影响(1)
[摘要]目的 探讨前列腺增生患者行经尿道双极等离子前列腺剜除术(PKEP)治疗对其尿流动力学、性功能的影响。方法 选取我院2012年8月～2017年5月收治的前列腺增生患者85例，依据治疗方法不同分为对照组(n=42)和研究组(n=43)，对照组行经尿道双极等离子前列腺切除术(PKRP)治疗，研究组行PKEP治疗，回顾性对比分析两组手术指标、尿流动力学、性功能变化情况。结果 研究组患者的手术用时、尿管留置时间、住院时间均短于对照组；研究组患者的术中出血量少于对照组，差异均有统计学意义(P<0.05)。术前，两组患者的尿流动力学比较，差异无统计学意义(P>0.05)；术后，两组患者的PVR均低于术前，Qmax均高于术前；研究组患者的PVR低于对照组，研究组患者的Qmax大于对照组，差异均有统计学意义(P<0.05)。术前，两组患者性功能的比较，差异无统计学意义(P>0.05)。术后，对照组患者性功能均高于术前，研究组患者性功能低于对照组，差异有统计学意义(P<0.05)，研究组患者的性功能与术前比较，差异无统计学意义(P>0.05)。研究組并发症发生率低于对照组，差异有统计学意义(P<0.05)。结论 通过PKEP对前列腺增生展开治疗的手术时间短、术中出血量少、术后恢复快，可有效改善患者尿道功能，且对性功能产生的不良影响小。
[关键词]前列腺增生；经尿道双极等离子前列腺剜除术；尿流动力学；性功能
[中图分类号] R699 [文献标识码] A [文章编号] 1674-4721(2018)5(c)-0055-04
Influence of urodynamics and sexual function of transurethral plasmakinetic enuc leation of the prostate in the treatment of prostatic hyperplasia
LIU Wen-gang LI Jie YE Zhao-yang LI Ming CHENG Yi WU Zhi-rong
Department of Urology，the Fifth People′s Hospital of Dongguan City，Guangdong Province，Dongguan 523000，China
[Abstract]Objective To investigate the influence of urodynamics and sexual function of transurethral plasmakinetic enucleation of the prostate in the treatment of prostatic hyperplasia (PKEP).Methods Eighty-five patients with prostatic hyperplasia admitted in our hospital from August 2012 to May 2017 were selected and divided into control group (n=42) and study group (n=43) according to different treatment methods.The control group was treated with transurethral bipolar plasma prostatectomy(PKRP)，and the study group was treated with PKEP.The surgical indicators，urodynamics and functional changes of the two groups were retrospectively compared and analyzed.Results The operation time，indwelling time of urine tube and hospitalization time of patients in the study group were shorter than those in the control group，the intraoperative blood loss in the study group was less than that in the control group，and the differences were statistically significant(P<0.05).Before operation，there was no significant difference in urodynamics between the two groups (P>0.05).After operation，PVR in both groups was lower than that before operation，and Qmax was higher than that before operation，PVR of patients in study group was lower than that of control group，Qmax of patients in study group was larger than that of control group，and the differences were statistically significant(P<0.05).Before operation，there was no significant difference in sexual function between the two groups(P>0.05).After operation，the sexual function of patients in the control group was higher than that before operation，and that of patients in the study group was lower than that of the control group，with statistically significant difference (P<0.05).There was no statistically significant difference between the sexual function of patients in the study group and that before operation(P>0.05).The incidence of complications in the study group was lower than that in the control group，and the difference was statistically significant(P<0.05).Conclusion The short time of operation of prostatic hyperplasia，less bleeding and quick recovery after PKEP can effectively improve the urethral function of the patients，and have little adverse effect on the sexual function., 百拇医药(刘文刚 李杰 叶朝阳 黎明 程祎 )
[关键词]前列腺增生；经尿道双极等离子前列腺剜除术；尿流动力学；性功能
[中图分类号] R699 [文献标识码] A [文章编号] 1674-4721(2018)5(c)-0055-04
Influence of urodynamics and sexual function of transurethral plasmakinetic enuc leation of the prostate in the treatment of prostatic hyperplasia
LIU Wen-gang LI Jie YE Zhao-yang LI Ming CHENG Yi WU Zhi-rong
Department of Urology，the Fifth People′s Hospital of Dongguan City，Guangdong Province，Dongguan 523000，China
[Abstract]Objective To investigate the influence of urodynamics and sexual function of transurethral plasmakinetic enucleation of the prostate in the treatment of prostatic hyperplasia (PKEP).Methods Eighty-five patients with prostatic hyperplasia admitted in our hospital from August 2012 to May 2017 were selected and divided into control group (n=42) and study group (n=43) according to different treatment methods.The control group was treated with transurethral bipolar plasma prostatectomy(PKRP)，and the study group was treated with PKEP.The surgical indicators，urodynamics and functional changes of the two groups were retrospectively compared and analyzed.Results The operation time，indwelling time of urine tube and hospitalization time of patients in the study group were shorter than those in the control group，the intraoperative blood loss in the study group was less than that in the control group，and the differences were statistically significant(P<0.05).Before operation，there was no significant difference in urodynamics between the two groups (P>0.05).After operation，PVR in both groups was lower than that before operation，and Qmax was higher than that before operation，PVR of patients in study group was lower than that of control group，Qmax of patients in study group was larger than that of control group，and the differences were statistically significant(P<0.05).Before operation，there was no significant difference in sexual function between the two groups(P>0.05).After operation，the sexual function of patients in the control group was higher than that before operation，and that of patients in the study group was lower than that of the control group，with statistically significant difference (P<0.05).There was no statistically significant difference between the sexual function of patients in the study group and that before operation(P>0.05).The incidence of complications in the study group was lower than that in the control group，and the difference was statistically significant(P<0.05).Conclusion The short time of operation of prostatic hyperplasia，less bleeding and quick recovery after PKEP can effectively improve the urethral function of the patients，and have little adverse effect on the sexual function., 百拇医药(刘文刚 李杰 叶朝阳 黎明 程祎 )