CAJ | 학술논문

目的：探讨等离子双极电切（PKRP）与前列腺单极电切（TURP）治疗前列腺增生（BPH）术后对性功能的影响程度及其它相关影响因素。方法：将我院2008年至2013年经尿道前列腺电切术后的患者226例分为 PKRP105例、TURP121例两组，采用勃起功能国际问卷（IIEF25）调查和阴茎硬度测试患者术前术后性功能变化，对术前与术后包括性欲、阴茎勃起硬度、逆行性射精等情况进行比较，分析两种手术对性功能的影响程度。结果：两组病例显示经尿道前列腺等离子切除术（PKRP）与经尿道前列腺电切术（TURP）均对性功能有一定的影响，但两组之间有差异（P ＜0．05）。结论：两种手术方法对性功能都有不同程度的影响，PKRP 对性功能的影响小于 TURP，术前术后心理干预也十分重要。
목적：탐토등리자쌍겁전절（PKRP）여전렬선단겁전절（TURP）치료전렬선증생（BPH）술후대성공능적영향정도급기타상관영향인소。방법：장아원2008년지2013년경뇨도전렬선전절술후적환자226례분위 PKRP105례、TURP121례량조，채용발기공능국제문권（IIEF25）조사화음경경도측시환자술전술후성공능변화，대술전여술후포괄성욕、음경발기경도、역행성사정등정황진행비교，분석량충수술대성공능적영향정도。결과：량조병례현시경뇨도전렬선등리자절제술（PKRP）여경뇨도전렬선전절술（TURP）균대성공능유일정적영향，단량조지간유차이（P ＜0．05）。결론：량충수술방법대성공능도유불동정도적영향，PKRP 대성공능적영향소우 TURP，술전술후심리간예야십분중요。
Objectives:To study the changes in sexual function and the influencing factors of penile erectile function after surgical treatment of Benign Prostate Hyperplasia (BPH)using Trans Urethral Resection of Prostate (TURP)and Plasmakinetic Resection of the Prostate (PKRP).Methods:226 patients with BPH in our hospital from 2008 to 2013 were randomized into two groups:group one (n =105)was treated with TURP and group two (n =121)was treated with PKRP.The sexual function of both groups was compared using the International Index of Erectile Function (IIEF -5)score and tumescence and rigidity assessment before and after operation three months later.Results:Either PKRP or TURP affected the sexual function of patients,with a significant difference in sexual function between two groups (P <0.05).Conclusions:In terms of sexual function after surgical treatment of BPH, PKRP is superior to TURP,and the mental intervention before and after operation is also very important.