前列腺经尿道电切手术与开放性手术治疗后对患者性功能及生活质量的影响比较
|
摘要
目的探讨前列腺经尿道电切手术与开放性手术治疗后对患者性功能及生活质量的影响。方法选取2013年9月至2017年9月海南省第二人民医院诊治的60例前列腺良性增生患者作为研究对象。随机将患者分为对照组和观察组,每组30例,对照组患者实行开放性手术治疗,观察组患者实施前列腺经尿道电切手术治疗,观察并比较两组患者的性功能质量、生活质量、术后住院时间以及并发症发生率等相关指标。结果两组患者的手术时间无统计学意义(P>0.05),观察组患者的术中出血量、留置尿管时间以及术后住院时间均少于对照组,差异具有统计学意义(P<0.05);观察组在治疗后的性功能各项评分高于对照组,差异具有统计学意义(P<0.05);观察组患者的IPSS、PVR和QOL评分均低于对照组,观察组的Qmax高于对照组,差异具有统计学意义(P<0.05);观察组术后并发症低于对照组,差异具有统计学意义(P<0.05)。结论前列腺经尿道电切手术治疗良性前列腺增生症患者的治疗效果显著,降低术中出血量,减少尿管留置时间和术后住院时间,提高患者的勃起功能、性交满意度、性高潮、性欲和总体满意度评分,提高患者的生活质量,减少术后并发症的发生率,值得临床上推广使用。
Objective To investigate the effect of transurethral resection of the prostate(TURP) and open operation on the sexual function and quality of life of patients. Methods 60 patients with benign prostatic hyperplasia(BPH) in the Second People′s Hospital from September 2013 to September 2017 were randomly divided into control group and observation group, with 30 cases in each group.The control group was treated with open surgery, and the observation group was treated with TURP. The quality of sexual function, quality of life, the time of postoperative hospitalization, and the incidence of complications were observed and compared between the two groups. Results There was no significant difference in operative time between the two groups(P>0.05). The intraoperative blood loss, the time of indwelling catheter and postoperative hospitalization time in the observation group were all less than those of the control group, with statistically significant differences(P<0.05).The scores of sexual function in the observation group were significantly higher than those in the control group; the scores of IPSS, PVR and QOL in the observation group were significantly lower than those in the control group; the Qmax of the observation group was significantly higher than that of the control group; the incidence of postoperative complications of the observation group was significantly lower than that of the control group, all with statistically significant differences(P<0.05). Conclusions TURP is effective in treating patients with BPH, with many advantages, including reducing intraoperative blood loss, catheter indwelling time and postoperative hospitalization time, improving erectile function, sexual satisfaction, orgasm, sexual desire, overall satisfaction score and the quality of life of patients, and reducing the incidence of postoperative complications, which is worthy of clinical promotion.
Objective To investigate the effect of transurethral resection of the prostate(TURP) and open operation on the sexual function and quality of life of patients. Methods 60 patients with benign prostatic hyperplasia(BPH) in the Second People′s Hospital from September 2013 to September 2017 were randomly divided into control group and observation group, with 30 cases in each group.The control group was treated with open surgery, and the observation group was treated with TURP. The quality of sexual function, quality of life, the time of postoperative hospitalization, and the incidence of complications were observed and compared between the two groups. Results There was no significant difference in operative time between the two groups(P>0.05). The intraoperative blood loss, the time of indwelling catheter and postoperative hospitalization time in the observation group were all less than those of the control group, with statistically significant differences(P<0.05).The scores of sexual function in the observation group were significantly higher than those in the control group; the scores of IPSS, PVR and QOL in the observation group were significantly lower than those in the control group; the Qmax of the observation group was significantly higher than that of the control group; the incidence of postoperative complications of the observation group was significantly lower than that of the control group, all with statistically significant differences(P<0.05). Conclusions TURP is effective in treating patients with BPH, with many advantages, including reducing intraoperative blood loss, catheter indwelling time and postoperative hospitalization time, improving erectile function, sexual satisfaction, orgasm, sexual desire, overall satisfaction score and the quality of life of patients, and reducing the incidence of postoperative complications, which is worthy of clinical promotion.
引文
[1] 杨玉恺,李飞,陆鲲,等.经尿道前列腺电切术与双极等离子前列腺切除术对良性前列腺增生患者性功能影响的对比研究[J].中国性科学,2015,24(7):5-7.
[2] 冀阳,胡新生,郭国营.经尿道前列腺等离子双极电切术与耻骨上经膀胱前列腺切除术治疗良性前列腺增生的疗效比较[J].中国老年学杂志,2012,32(21):4638-4640.
[3] 宗焕涛,彭晓霞,杨称称.经尿道前列腺切除术对性功能影响的Meta分析[J].中华男科学杂志,2011,17(11):1014-1018.
[4] 胡建明.前列腺经尿道手术与开放性手术后对性功能影响的比较[J].中外医学研究,2014,12(28):51-52.
[5] 李贤英,张立冬,唐为民.经尿道前列腺电切术治疗前列腺增生症的优质护理[J].检验医学与临床,2014,11(1):116-118.
[6] 王振中,薛珺,左维.剥离式经尿道前列腺电切术对前列腺增生患者性功能的影响[J].现代医学,2015,43(2):194-197.
[7] Johnson OK.Simultaneous open preperitoneal repair of inguinal hernia with open prostatectomy for benign prostate hyperplasia[J].Trop Doct,2015,45(1):42-43.
[8] Park J,Son HGR.Association of functional ability and benign prostatic hyperplasiawith urinary incontinence in older Korean men[J].Int Neurourol J,2016,20(2):137-142.
[9] 李凌超.经尿道前列腺等离子剜除术与电切术治疗前列腺增生症的安全性和疗效比较[J].中外医学研究,2012,10(14):30-31.
[10] 吴金光.经尿道前列腺电切术对 48 例良性前列腺增生症的临床治疗效果[J].当代医学,2013,11(5):154-158.
[11] Glina S,Roehrborn CG,Esen A,et al.Sexual functionin men with lower urinary tract symptoms and prostatic enlargement secondary to benign prostatic hyperplasia:Results of a 6-month,randomized,double-blind,placebo-controlled study of tadalafil coadministered with finasteride[J].J Sex Med,2015,12(1):129-138.
[12] 代睿欣,白遵光,胡萍滋.肾通关片治疗良性前列腺增生症的临床研究[J].中华中医药学刊,2013,12(3):118-124.
[13] 李春艳.经尿道前列腺电切术治疗57例前列腺增生症患者的围手术期护理体会[J].中外医学研究,2014,12(3):97-98.
[14] 钱培贤,李鸣涛.经尿道双极等离子前列腺电切术疗效及对性功能的影响[J].中国男科杂志,2014,29(6):52-54.
[15] Magistro G,Stief CG,Gratzke C.Prostatic urethral lift versus transurethral resection of the prostate[J].Curr Urol Rep,2017,18(10):82-83.
[16] 王鹏,郭小鹏,崔崎.前列腺增生经尿道手术与开放性手术后对性功能影响的比较[J].中国实用医药,2015,10(24):60-61.
[17] 吴海玉,刘丰,练燕琼,等.综合护理干预对经尿道前列腺电切术患者生活质量及术后并发症的影响[J].中国现代医生,2014,52(1):90-92.
[18] 何芳.护理干预对前列腺电切治疗术后并发症的影响[J].中国当代医药,2013,20(11):128-129.
[2] 冀阳,胡新生,郭国营.经尿道前列腺等离子双极电切术与耻骨上经膀胱前列腺切除术治疗良性前列腺增生的疗效比较[J].中国老年学杂志,2012,32(21):4638-4640.
[3] 宗焕涛,彭晓霞,杨称称.经尿道前列腺切除术对性功能影响的Meta分析[J].中华男科学杂志,2011,17(11):1014-1018.
[4] 胡建明.前列腺经尿道手术与开放性手术后对性功能影响的比较[J].中外医学研究,2014,12(28):51-52.
[5] 李贤英,张立冬,唐为民.经尿道前列腺电切术治疗前列腺增生症的优质护理[J].检验医学与临床,2014,11(1):116-118.
[6] 王振中,薛珺,左维.剥离式经尿道前列腺电切术对前列腺增生患者性功能的影响[J].现代医学,2015,43(2):194-197.
[7] Johnson OK.Simultaneous open preperitoneal repair of inguinal hernia with open prostatectomy for benign prostate hyperplasia[J].Trop Doct,2015,45(1):42-43.
[8] Park J,Son HGR.Association of functional ability and benign prostatic hyperplasiawith urinary incontinence in older Korean men[J].Int Neurourol J,2016,20(2):137-142.
[9] 李凌超.经尿道前列腺等离子剜除术与电切术治疗前列腺增生症的安全性和疗效比较[J].中外医学研究,2012,10(14):30-31.
[10] 吴金光.经尿道前列腺电切术对 48 例良性前列腺增生症的临床治疗效果[J].当代医学,2013,11(5):154-158.
[11] Glina S,Roehrborn CG,Esen A,et al.Sexual functionin men with lower urinary tract symptoms and prostatic enlargement secondary to benign prostatic hyperplasia:Results of a 6-month,randomized,double-blind,placebo-controlled study of tadalafil coadministered with finasteride[J].J Sex Med,2015,12(1):129-138.
[12] 代睿欣,白遵光,胡萍滋.肾通关片治疗良性前列腺增生症的临床研究[J].中华中医药学刊,2013,12(3):118-124.
[13] 李春艳.经尿道前列腺电切术治疗57例前列腺增生症患者的围手术期护理体会[J].中外医学研究,2014,12(3):97-98.
[14] 钱培贤,李鸣涛.经尿道双极等离子前列腺电切术疗效及对性功能的影响[J].中国男科杂志,2014,29(6):52-54.
[15] Magistro G,Stief CG,Gratzke C.Prostatic urethral lift versus transurethral resection of the prostate[J].Curr Urol Rep,2017,18(10):82-83.
[16] 王鹏,郭小鹏,崔崎.前列腺增生经尿道手术与开放性手术后对性功能影响的比较[J].中国实用医药,2015,10(24):60-61.
[17] 吴海玉,刘丰,练燕琼,等.综合护理干预对经尿道前列腺电切术患者生活质量及术后并发症的影响[J].中国现代医生,2014,52(1):90-92.
[18] 何芳.护理干预对前列腺电切治疗术后并发症的影响[J].中国当代医药,2013,20(11):128-129.