经尿道前列腺电切术对前列腺增生患者尿道狭窄及性功能影响研究.docVIP

经尿道前列腺电切术对前列腺增生患者尿道狭窄及性功能影响研究 　　【摘要】目的：探讨经尿道前列腺电切术对前列腺增生患者尿道狭窄及性功能的影响。方法：76例前列腺增生患者根据治疗方法不同分为观察组和对照组各38例，观察组采用经尿道前列腺电切术，对照组行传统开放性手术，其中20例行SPP术及18例行Madigan术。比较两组患者术中出血量、术后膀胱冲洗时间、留置尿管时间、平均输血量、住院时间及术前术后IPSS、QOL、Qmax的变化，及两组患者术后9个月勃起功能障碍发生率、逆行射精发生率、并发症情况。结果：观察组患者的术中出血量、平均输血量明显少于对照组，观察组患者留置尿管时间、术后膀胱冲洗时间、住院时间分别短于对照组（P0.05）。观察组术后逆行射精发生率为55.3%（21/38），对照组SPP术术后逆行射精发生率为45%（9/20），对照组Madigan术术后逆行射精发生率为11.1%（2/18），组间比较差异具有统计学意义（P　　【关键词】前列腺增生；经尿道前列腺电切术；尿道狭窄；性功能 　　Impact of transurethral resection on the urethral stricture and sexual function of patients with prostate hyperplasiaZHOU Liang1， HAN Zihua2. 1. Department of Urology， Ningbo Beilun District Peoples Hospital， Ningbo 315800， China； 2. Department of Urology， Zhejiang Taizhou Hospital， Taizhou 317000， China 　　【Abstract】Objectives： To investigate the impact of transurethral resection on the urethral stricture and sexual function of patients with prostate hyperplasia. Method： 76 patients with prostate hyperplasia were randomly divided into observation group and control group， each with 38 patients. Transurethral resection was used for observation group， while traditional open surgery for control group， including 20 patients undertaking SPP surgery and Madigan surgery for 18 patients. The intraoperative blood loss， postoperative indwelling catheter time， catheterization time， average amount of blood transfusion， hospitalization time and preoperative and postoperative IPSS， QOL， Qmax changes， as well as the incidence of erectile dysfunction barriers， retrograde ejaculation and complications were compared nine months after surgery. Results： The intraoperative blood loss and average amount of blood transfusion of the observation group were significantly less than the control group， and indwelling catheter time， postoperative bladder irrigation， hospitalization time were shorter than the control group （P0.05）. The incidence of postoperative retrograde ejaculation in the observation group， SPP control group and Madigan control grou