改良式PKRP术对良性前列腺增生患者性功能及生活质量的影响
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摘要
目的:分析并探改良式PKRP术对BPH患者性功能及生活质量的影响。方法:选取2012年4月至2015年4月期间来我院接受治疗的良性前列腺增生症(BPH)患者120例,随机分为两组,每组60例,分别是观察组与对照组。观察组患者给予PKRP进行治疗,对照组患者给予TUERP进行治疗,观察并记录两组患者治疗后临床效果与性功能及生活质量。结果:两组患者治疗后各项指标均有明显改善(P<0.05),但组间无显著差异(P>0.05)。观察组性功能障碍占60.00%,明显低于对照组的78.33%,经统计学检验,差异具有统计学意义(P<0.05)。结论:改良式PKRP术治疗BPH效果显著,且改善性功能及生活质量,临床上值得推广。
Objectives: To analyze and explore the effect of modified PKRP on the sexual function and quality of life of patients with benign prostatic hyperplasia( BPH). Methods: 120 patients with BPH in our hospital from April 2012 to April 2015 were selected and randomly divided into two groups,each of 60 cases. The observation group received PKRP and the control group received TUERP treatment. The clinical effect,sexual function and quality of life of the two groups were observed and recorded. Results: After treatment,all indicators were improved significantly( P < 0. 05),but no significant difference was found between the two groups( P > 0. 05). The incidence of sexual dysfunction in observation group was 60. 00%,significantly lower than the 78. 33% in the control group,with statistically significant difference( P < 0. 05). Conclusion: Modified PKRP is of remarkable effect in treating patients with BPH and improving their sexual function and quality of life,thusly worthy of clinical application.
Objectives: To analyze and explore the effect of modified PKRP on the sexual function and quality of life of patients with benign prostatic hyperplasia( BPH). Methods: 120 patients with BPH in our hospital from April 2012 to April 2015 were selected and randomly divided into two groups,each of 60 cases. The observation group received PKRP and the control group received TUERP treatment. The clinical effect,sexual function and quality of life of the two groups were observed and recorded. Results: After treatment,all indicators were improved significantly( P < 0. 05),but no significant difference was found between the two groups( P > 0. 05). The incidence of sexual dysfunction in observation group was 60. 00%,significantly lower than the 78. 33% in the control group,with statistically significant difference( P < 0. 05). Conclusion: Modified PKRP is of remarkable effect in treating patients with BPH and improving their sexual function and quality of life,thusly worthy of clinical application.
引文
[1]刘成益,许恩赐.前列腺癌与伴不同合并症的良性前列腺增生患者血清前列腺特异性抗原分析.中国医药,2013,8(1):83-85.
[2]邵晋凯,王毓斌,吕永安,等.2微米激光前列腺剜除术与经尿道前列腺电切术治疗良性前列腺增生的疗效比较.中华外科杂志,2012,50(2):131-134.
[3]王蕾蕾,王建龙,朱玲,等.老年体检人群良性前列腺增生合并代谢综合征危险因素分析.中华老年医学杂志,2013,32(5):496-499.
[4]王少刚,叶章群,许克新,等.中国泌尿外科医师管理良性前列腺增生患者实际操作模式的调查研究.中华泌尿外科杂志,2015,36(1):44-49.
[5]周哲,王义,蔡建良,等.中老年男性代谢综合征和前列腺增生关系的研究.中华泌尿外科杂志,2012,33(5):373-377.
[6]Wang K,Li Y,Teng JF,et al.Transurethral plasmakinetic resection of the prostate is a reliable minimal invasive technique for benign prostate hyperplasia:A meta-analysis of randomized controlled trials.Asian J Androl,2015,17(1):135-142.
[7]张宗平,王安果,刘照功,等.经尿道前列腺等离子切除与电切治疗良性前列腺增生术后性功能比较.西部医学,2012,24(11):2154-2155.
[8]Sinanoglu O,Ekici S,Balci MC,et al.Comparison of plasmakinetic transurethral resection of the prostate with monopolar transurethral resection of the prostate in terms of urethral stricture rates in patients with comorbidities.Prostate Int,2014,2(3):121-126.
[9]唐顺利,钟明,李凯,等.普通电切和双极等离子电切治疗BPH的疗效比较.中国男科学杂志,2012,26(5):48-50,52.
[10]王忠,陈彦博,陈其,等.经尿道前列腺等离子切除术与钬激光剜除术治疗良性前列腺增生的疗效和安全性比较.中华泌尿外科杂志,2014,35(5):349-353.
[11]周毅,王伟,李刚,等.经皮二氧化碳气膀胱穿刺取石术联合TUVP与U100激光碎石联合TUVP治疗BPH合并膀胱结石患者的疗效比较.安徽医药,2014,18(3):483-486.
[12]申吉泓,官润云.经尿道前列腺电切术的注意事项(附光盘).现代泌尿外科杂志,2014,19(3):141-144.
[13]蔡志康,陈其,陈彦博,等.前列腺增生手术:剜除好还是切除好?(附光盘).现代泌尿外科杂志,2014,19(6):353-355.
[14]曾筱江,陈志辰,陈焕镇,等.比较经尿道等离子双极电切与电汽化术治疗BPH合并糖尿病患者的临床效果.湖南中医药大学学报,2012,32(12):41-42.
[15]王亮,梁平,杨航,等.经尿道前列腺等离子双极电切术与经尿道前列腺电切术治疗大体积良性前列腺增生症.中国内镜杂志,2011,17(10):1064-1067.
[16]Chen YB,Chen Q,Wang Z,et al.A prospective,randomized clinical trial comparing plasmakinetic resection of the prostate with holmium laser enucleation of the prostate based on a 2-year followup.The Journal of Urology,2013,189(1):217-222.
[17]Luo YH,Shen JH,Guan RY,et al.Plasmakinetic enucleation of the prostate vs plasmakinetic resection of the prostate for benign prostatic hyperplasia:Comparison of outcomes according to prostate size in 310patients.Urology,2014,84(4):904-910.
[18]Wei H,Shao Y,Sun F,et al.Thulium laser resection versus plasmakinetic resection of prostates larger than 80 ml.World Journal of Urology,2014,32(4):1077-1085.
[2]邵晋凯,王毓斌,吕永安,等.2微米激光前列腺剜除术与经尿道前列腺电切术治疗良性前列腺增生的疗效比较.中华外科杂志,2012,50(2):131-134.
[3]王蕾蕾,王建龙,朱玲,等.老年体检人群良性前列腺增生合并代谢综合征危险因素分析.中华老年医学杂志,2013,32(5):496-499.
[4]王少刚,叶章群,许克新,等.中国泌尿外科医师管理良性前列腺增生患者实际操作模式的调查研究.中华泌尿外科杂志,2015,36(1):44-49.
[5]周哲,王义,蔡建良,等.中老年男性代谢综合征和前列腺增生关系的研究.中华泌尿外科杂志,2012,33(5):373-377.
[6]Wang K,Li Y,Teng JF,et al.Transurethral plasmakinetic resection of the prostate is a reliable minimal invasive technique for benign prostate hyperplasia:A meta-analysis of randomized controlled trials.Asian J Androl,2015,17(1):135-142.
[7]张宗平,王安果,刘照功,等.经尿道前列腺等离子切除与电切治疗良性前列腺增生术后性功能比较.西部医学,2012,24(11):2154-2155.
[8]Sinanoglu O,Ekici S,Balci MC,et al.Comparison of plasmakinetic transurethral resection of the prostate with monopolar transurethral resection of the prostate in terms of urethral stricture rates in patients with comorbidities.Prostate Int,2014,2(3):121-126.
[9]唐顺利,钟明,李凯,等.普通电切和双极等离子电切治疗BPH的疗效比较.中国男科学杂志,2012,26(5):48-50,52.
[10]王忠,陈彦博,陈其,等.经尿道前列腺等离子切除术与钬激光剜除术治疗良性前列腺增生的疗效和安全性比较.中华泌尿外科杂志,2014,35(5):349-353.
[11]周毅,王伟,李刚,等.经皮二氧化碳气膀胱穿刺取石术联合TUVP与U100激光碎石联合TUVP治疗BPH合并膀胱结石患者的疗效比较.安徽医药,2014,18(3):483-486.
[12]申吉泓,官润云.经尿道前列腺电切术的注意事项(附光盘).现代泌尿外科杂志,2014,19(3):141-144.
[13]蔡志康,陈其,陈彦博,等.前列腺增生手术:剜除好还是切除好?(附光盘).现代泌尿外科杂志,2014,19(6):353-355.
[14]曾筱江,陈志辰,陈焕镇,等.比较经尿道等离子双极电切与电汽化术治疗BPH合并糖尿病患者的临床效果.湖南中医药大学学报,2012,32(12):41-42.
[15]王亮,梁平,杨航,等.经尿道前列腺等离子双极电切术与经尿道前列腺电切术治疗大体积良性前列腺增生症.中国内镜杂志,2011,17(10):1064-1067.
[16]Chen YB,Chen Q,Wang Z,et al.A prospective,randomized clinical trial comparing plasmakinetic resection of the prostate with holmium laser enucleation of the prostate based on a 2-year followup.The Journal of Urology,2013,189(1):217-222.
[17]Luo YH,Shen JH,Guan RY,et al.Plasmakinetic enucleation of the prostate vs plasmakinetic resection of the prostate for benign prostatic hyperplasia:Comparison of outcomes according to prostate size in 310patients.Urology,2014,84(4):904-910.
[18]Wei H,Shao Y,Sun F,et al.Thulium laser resection versus plasmakinetic resection of prostates larger than 80 ml.World Journal of Urology,2014,32(4):1077-1085.
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