中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
5期
13-16
,共4页
王毓斌%邵晋凯%吕永安%李晓东
王毓斌%邵晉凱%呂永安%李曉東
왕육빈%소진개%려영안%리효동
前列腺增生%经尿道前列腺切除术%性功能障碍,生理性%2μm激光,120W%逆行射精
前列腺增生%經尿道前列腺切除術%性功能障礙,生理性%2μm激光,120W%逆行射精
전렬선증생%경뇨도전렬선절제술%성공능장애,생이성%2μm격광,120W%역행사정
Prostatic hyperplasia%Transurethral resection of prostate%Sexual dysfunction,physiological%2-μm laser,120 W%Retrograde ejaculation
目的 评估120W2 μm激光前列腺汽化剜除术与经尿道前列腺电切术(TURP)治疗良性前列腺增生(BPH)对患者性功能的影响.方法 选择122例BPH患者,63例行120W2 μm激光前列腺汽化剜除术治疗为2μm激光组,59例行TURP治疗为TURP组.术前、术后12个月评估性功能,采用国际勃起功能指数(IIEF)评分和自行设计射精功能问卷,IIEF评分包括5个方面:勃起功能、性欲、性高潮、性满意度及总体满意度.结果 两组术前IIEF各项评分比较差异无统计学意义(P＞0.05).两组术前与术后12个月勃起功能、性满意度、性欲、总体满意度评分比较差异无统计学意义(P＞0.05),但两组术后12个月性高潮评分明显低于术前[2μm激光组:(5.9±1.5)分比(8.6±2.7)分;TURP组(5.5±1.6)分比(8.7±1.8)分],差异有统计学意义(P＜0.05).多元线性回归分析显示两组勃起功能评分与国际前列腺症状评分、生存质量评分、最大尿流率呈线性正相关(P＜0.05).Logistic回归分析显示逆行射精的发生与性高潮降低显著相关(P＜0.05),且可作为120 W2μm激光前列腺汽化剜除术和TURP后性高潮降低的独立预测因子(P＜0.05).结论 120W2μm激光前列腺汽化剜除术和TURP对性功能影响相似,两种术式在一定程度上改善勃起功能,但降低患者的性高潮评分,其主要原因可能是术后逆行射精的发生.
目的 評估120W2 μm激光前列腺汽化剜除術與經尿道前列腺電切術(TURP)治療良性前列腺增生(BPH)對患者性功能的影響.方法 選擇122例BPH患者,63例行120W2 μm激光前列腺汽化剜除術治療為2μm激光組,59例行TURP治療為TURP組.術前、術後12箇月評估性功能,採用國際勃起功能指數(IIEF)評分和自行設計射精功能問捲,IIEF評分包括5箇方麵:勃起功能、性欲、性高潮、性滿意度及總體滿意度.結果 兩組術前IIEF各項評分比較差異無統計學意義(P＞0.05).兩組術前與術後12箇月勃起功能、性滿意度、性欲、總體滿意度評分比較差異無統計學意義(P＞0.05),但兩組術後12箇月性高潮評分明顯低于術前[2μm激光組:(5.9±1.5)分比(8.6±2.7)分;TURP組(5.5±1.6)分比(8.7±1.8)分],差異有統計學意義(P＜0.05).多元線性迴歸分析顯示兩組勃起功能評分與國際前列腺癥狀評分、生存質量評分、最大尿流率呈線性正相關(P＜0.05).Logistic迴歸分析顯示逆行射精的髮生與性高潮降低顯著相關(P＜0.05),且可作為120 W2μm激光前列腺汽化剜除術和TURP後性高潮降低的獨立預測因子(P＜0.05).結論 120W2μm激光前列腺汽化剜除術和TURP對性功能影響相似,兩種術式在一定程度上改善勃起功能,但降低患者的性高潮評分,其主要原因可能是術後逆行射精的髮生.
목적 평고120W2 μm격광전렬선기화완제술여경뇨도전렬선전절술(TURP)치료량성전렬선증생(BPH)대환자성공능적영향.방법 선택122례BPH환자,63례행120W2 μm격광전렬선기화완제술치료위2μm격광조,59례행TURP치료위TURP조.술전、술후12개월평고성공능,채용국제발기공능지수(IIEF)평분화자행설계사정공능문권,IIEF평분포괄5개방면:발기공능、성욕、성고조、성만의도급총체만의도.결과 량조술전IIEF각항평분비교차이무통계학의의(P＞0.05).량조술전여술후12개월발기공능、성만의도、성욕、총체만의도평분비교차이무통계학의의(P＞0.05),단량조술후12개월성고조평분명현저우술전[2μm격광조:(5.9±1.5)분비(8.6±2.7)분;TURP조(5.5±1.6)분비(8.7±1.8)분],차이유통계학의의(P＜0.05).다원선성회귀분석현시량조발기공능평분여국제전렬선증상평분、생존질량평분、최대뇨류솔정선성정상관(P＜0.05).Logistic회귀분석현시역행사정적발생여성고조강저현저상관(P＜0.05),차가작위120 W2μm격광전렬선기화완제술화TURP후성고조강저적독립예측인자(P＜0.05).결론 120W2μm격광전렬선기화완제술화TURP대성공능영향상사,량충술식재일정정도상개선발기공능,단강저환자적성고조평분,기주요원인가능시술후역행사정적발생.
Objective To evaluate the impact of 120 W 2 μ m continuous-wave laser vapoenucleation versus and transurethral resection of the prostate (TURP) in patients with symptomatic benign prostatic hyperplasia (BPH) on sexual function.Methods One hundred and twenty-two patients with BPH were selected,63 cases were treated with 120 W 2 μ m continuous-wave laser vapoenucleation versus(2 μ m laser group),59 cases were treated with TURP(TURP group).International index of erectile function(IIEF) scores and self-made general assessment questions were completed before and 12 months after treatment to determine the impact on sexual function.IIEF scores included erectile function (EF),sexual desire,orgasm,sexual satisfaction and overall satisfaction.Results The IIEF scores difference was no significant before treatment between two groups (P ＞ 0.05).In two groups,there was no significant difference in EF,sexual desire,sexual satisfaction and overall satisfaction score between before treatment and 12 months after treatment(P＞ 0.05),orgasm score 12 months after treatment was significantly lower than that before treatment [2 μm laser group:(5.9 ± 1.5) scores vs.(8.6 ± 2.7) scores;TURP group:(5.5 ± 1.6) scores vs.(8.7 ± 1.8) scores] (P ＜0.05).Multiple linear regression analysis showed that two groups EF score and the international prostate symptom score,quality of life score and Q.~ positive linear correlation.Logistic regression analysis showed that the incidence of retrograde ejaculation and orgasm reduced significantly assoeiated(P ＜ 0.05),as an independent predictor of orgasm reduced after treatment(P ＜ 0.05).Conclusions There is no difference between these two surgical techniques regarding to impact on sex function.No significant EF improvement after surgery in both groups,but these two techniques can significantly decrease the IIEF orgasmic function domain and this is mainly caused by retrograde ejaculation.
