学术论文

      尿道前列腺电切除术对前列腺增生患者性功能影响的研究

      Effect of transurethral resection of prostate on sexual life quality of patients with benign prostatic hyperplasia

      摘要:
      目的:研究经尿道前列腺电切除术影响患者性生活质量的机制.方法:选取我院2014年5月至2016年5月收治的良性前列腺增生患者40例为研究组,另选取我院同期接收的健康体检男士40例为对照组,给予研究组患者经尿道前列腺电切除术治疗,对两组人员的IPSS评分、IIEF-5评分、QOL评分、勃起周径增加量、精液量、逆行射精、射精疼痛及阴茎勃起功能障碍发生情况进行统计分析.结果:两组患者的IPSS评分、IIEF-5评分、QOL评分之间的差异均不显著(P>0.05);研究组患者的精液量显著少于对照组(P<0.05),逆行射精、射精疼痛发生率15.0%(6/40)、5.0%(4/40)均显著高于对照组的2.5% (1/40)、0(P<0.05);但两组患者的勃起周径增加量、阴茎勃起功能障碍发生率2.5% (1/40)、0之间的差异不显著(P>0.05).结论:经尿道前列腺电切除术影响患者性生活质量的机制为减少精液量、提升逆行射精率.
      Abstract:
      Objectives:To study the effect of transurethral resection of prostate on sexual life quality of patients.Methods:40 patients with benign prostatic hyperplasia in our hospital from May 2014 to May 2016 were selected and regarded as study group,and another 40 men receiving health examination in the same period were selected as control group.The study group was given transurethral resection of prostate treatment.The IPSS scores,IIEF -5 scores,QOL scores,erectile circumference increased quantity,semen volumes,retrograde ejaculation,painful ejaculation,erectile dysfunction occurrence of two groups were statistically analyzed.Results:The differences in IPSS scores,IIEF-5 scores and QOL scores between the two groups were not significant (P > 0.05).The semen volume of study group was significantly less than that of control group (P < 0.05).The retrograde ejaculation rate (15%,6/40) and ejaculation pain incidence (5%,4/40) were significantly higher than these of control group (P < 0.05).But the differences in erectile circumference,erectile dysfunction between two groups were not significant (P > 0.05).Conclusion:The mechanism of transurethral resection of prostate on sexual life quality of patients is through reducing the semen amount and increasing the retrograde ejaculation rate.
      作者: 李立昌 [1] 刘玉婷 [2] 王长青 [3] 张华 [4]
      Author: LI Lichang [1] LIU Yuting [2] WANG Changqing [3] ZHANG Hua [4]
      作者单位: 滕州市工人医院泌尿外科,山东枣庄,277599 滕州市工人医院手足外科,山东枣庄,277599 滕州市工人医院神经外科,山东枣庄,277599 滕州市中心人民医院药学部,山东枣庄,277500
      刊 名: 中国性科学 ISTIC
      年,卷(期): 2017, 26(11)
      分类号: R697+.3
      在线出版日期: 2017年12月22日