学术论文

      经尿道前列腺电切术对良性前列腺增生症患者性功能影响的临床研究

      Clinical study of the effect of transurethral resection of prostate on sexual function in patients with benign prostatic hyperplasia

      摘要:
      目的:观察分析良性前列腺增生常用的手术方式,经尿道前列腺电切术对于患者的性功能影响.方法:选取奉节县人民医院从2013年4月至2016年4月收治的良性前列腺增生患者共68例,观察组患者采用经尿道前列腺电切术治疗前列腺增生,对照组则采用传统的开放式手术治疗,对比两组的治疗结果以及患者性功能情况.结果:观察组患者的手术治疗效果要比对照组好,术中出血量、手术时间以及膀胱冲洗时间均要优于对照组;观察组患者术后的勃起功能有所下降,其他性功能手术前后没有显著性差异.患者的射精情况对比手术前后也没有显著性差异,但手术后患者出现逆行射精情况增加.结论:经尿道前列腺电切术治疗良性前列腺增生时对患者的性功能会有一定影响,主要是会影响患者勃起功能以及出现逆行射精.
      Abstract:
      Objectives:To observe and analyze the effect of transurethral resection of prostate on sexual function of patients.Methods:A total of 68 cases of benign prostatic hyperplasia from April 2013 to April 2016 were selected.Patients in the observation group were treated by transurethral resection of prostate for benign prostatic hyperplasia,while the control group was treated with conventional open surgery.The treatment outcome of the two groups and the patient's sexual function were observed.Results:In the observation group,the effect of surgery was better than that of control group,and the amount of bleeding,the time of operation and the time of bladder irrigation were all better than these of control group.The erectile function of the observation group was decreased,and there was no significant difference between before and after the operation.There was no significant difference in the condition of the patients' ejaculation between before and after the operation,but the increase of retrograde ejaculation occurred after the operation.Conclusion:Transurethral resection of prostate in the treatment of benign prostatic hyperplasia has a certain impact on the patient's sexual function,mainly including the patient's erectile function and the emergence of retrograde ejaculation.
      作者: 罗超 [1] 李建军 [2]
      Author: LUO Chao [1] LI Jianjun [2]
      作者单位: 重庆市公共卫生医疗救治中心平顶山院区泌尿外科,重庆,400030 奉节县人民医院泌尿外科,重庆,400030
      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