经尿道等离子前列腺切除术患者术前术后性生活状况对比探究.docVIP

经尿道等离子前列腺切除术患者术前术后性生活状况对比分析 　　【摘要】目的：探究良性前列腺增生（benign prostatic hyperplasia， BPH）患者采用经尿道等离子前列腺切除术（transurethral plasmakinetic prostatectomy，TUPKP）治疗对其性生活状况的影响。方法：选择2011年2月至2014年2月期间来我院治疗的198例BPH患者为研究对象，采用随机数字表法分为实验组和对照组，分别为100例与98例。实验组患者采用TUPKP术进行治疗，对照组患者给予经尿道前列腺电切术（TURP）治疗，比较两组患者术前、术后6个月、12个月的国际前列腺症状评分（IPSS）、生活质量指数评分（QOL）以及国际勃起功能指数评分简表（IIEF-5）评分的变化；观察两组患者术前、术后射精状况的差异。结果：治疗前，两组患者的IPSS评分、QOL评分无差异性（P0.05）；两组患者在术后6、12个月的IPSS评分和QOL评分均较术前显著降低（P0.05）；治疗前，两组患者的IIEF-5评分差异性较小（P0.05）；两组患者在术后6、12个月的IIEF-5评分均较治疗前降低（P0.05）。结论：TUPKP治疗BPH患者，能够显著降低IIEF-5评分、IPSS评分以及QOL评分，减少阴茎勃起功能障碍状况的发生，对患者的术后性生活影响较经尿道前列腺电切术小，是一种令BPH患者满意的治疗方法 【关键词】经尿道等离子前列腺切除术；IPSS评分；QOL评分；IIEF-5评分；射精状况 Sexual life condition of prostate patients receiving plasmakinetic resection of the prostate before and after surgeryWANG Luwen， ZHANG Zhengchun， HE Shijun. Department of Urology， Xian City First Hospital， Xian 710002， Shaanxi， China 【Abstract】Objectives： To explore the impact of plasmakinetic resection of the prostate （PRP） on the sexual life of patients with benign prostatic hyperplasia. Methods： 198 benign prostatic hyperplasia patients in our hospital from February 2011 to February 2014 were selected and randomly divided into experimental group （n=100） and control group （n=98）. The experimental group was treated with PRP while the control group was treated with transurethral resection of the prostate （TURP）. The changes in the score of international prostate symptom score （IPSS）， quality of life （QOL） and the International Index of Erectile Function （IIEF-5） before the surgery， 6 months and 12 months after the surgery was compared， and the ejaculation condition before and after the surgery was observed. Results： Before treatment， difference in the IPSS score and QOL score between the two groups was not significant （P0.05）； the IPSS score and QOL scores 6 and 12 months after surgery was significantly lower than those before treatment （P 0.05）. Before treatment， difference in IIEF-5 score between the two gr