中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
20期
3072-3074
,共3页
前列腺增生%膀胱结石%经尿道前列腺切除术%激光手术%阴茎勃起%血清前列腺特异性抗原
前列腺增生%膀胱結石%經尿道前列腺切除術%激光手術%陰莖勃起%血清前列腺特異性抗原
전렬선증생%방광결석%경뇨도전렬선절제술%격광수술%음경발기%혈청전렬선특이성항원
Prostate hyperplasia%Urinary bladder calculi%Transurethral resection of prostate%Laser surgery%Penile erection%Prostate-specific antigen
目的 探讨经尿道前列腺双极等离子电切术(PKRP)联合钛激光碎石治疗对前列腺增生伴膀胱结石患者血清前列腺特异性抗原(PSA)和性功能的影响.方法 62例前列腺增生伴膀胱结石患者按照数字表法随机分为两组,观察组31例,对照组31例,观察组采用PKRP联合钛激光碎石治疗,对照组采用气压弹道碎石联合前列腺电切术(TURP)治疗.测定术前和术后血清PSA,术后6个月评价患者性功能.结果 术后6月两组患者的国际勃起功能指数-5(IIEF-5评分)比治疗前均有下降,但观察组与术前差异无统计学意义(t=0.3896,P＞0.05),对照组与术前差异有统计学意义(t=4.2820,P＜0.05),两组术后差异有统计学意义(t =3.7473,P＜0.05)；两组术后1个月血清PSA均有明显降低(t=2.0423,15.3077,P＜0.01),并且与对照组比较,观察组降低更明显(t=13.2142,P＜0.05).结论 采用PKRP联合钛激光碎石治疗前列腺增生伴膀胱结石可以更加明显降低血清PSA,对患者的性功能影响更小,改善患者生活质量.
目的 探討經尿道前列腺雙極等離子電切術(PKRP)聯閤鈦激光碎石治療對前列腺增生伴膀胱結石患者血清前列腺特異性抗原(PSA)和性功能的影響.方法 62例前列腺增生伴膀胱結石患者按照數字錶法隨機分為兩組,觀察組31例,對照組31例,觀察組採用PKRP聯閤鈦激光碎石治療,對照組採用氣壓彈道碎石聯閤前列腺電切術(TURP)治療.測定術前和術後血清PSA,術後6箇月評價患者性功能.結果 術後6月兩組患者的國際勃起功能指數-5(IIEF-5評分)比治療前均有下降,但觀察組與術前差異無統計學意義(t=0.3896,P＞0.05),對照組與術前差異有統計學意義(t=4.2820,P＜0.05),兩組術後差異有統計學意義(t =3.7473,P＜0.05)；兩組術後1箇月血清PSA均有明顯降低(t=2.0423,15.3077,P＜0.01),併且與對照組比較,觀察組降低更明顯(t=13.2142,P＜0.05).結論 採用PKRP聯閤鈦激光碎石治療前列腺增生伴膀胱結石可以更加明顯降低血清PSA,對患者的性功能影響更小,改善患者生活質量.
목적 탐토경뇨도전렬선쌍겁등리자전절술(PKRP)연합태격광쇄석치료대전렬선증생반방광결석환자혈청전렬선특이성항원(PSA)화성공능적영향.방법 62례전렬선증생반방광결석환자안조수자표법수궤분위량조,관찰조31례,대조조31례,관찰조채용PKRP연합태격광쇄석치료,대조조채용기압탄도쇄석연합전렬선전절술(TURP)치료.측정술전화술후혈청PSA,술후6개월평개환자성공능.결과 술후6월량조환자적국제발기공능지수-5(IIEF-5평분)비치료전균유하강,단관찰조여술전차이무통계학의의(t=0.3896,P＞0.05),대조조여술전차이유통계학의의(t=4.2820,P＜0.05),량조술후차이유통계학의의(t =3.7473,P＜0.05)；량조술후1개월혈청PSA균유명현강저(t=2.0423,15.3077,P＜0.01),병차여대조조비교,관찰조강저경명현(t=13.2142,P＜0.05).결론 채용PKRP연합태격광쇄석치료전렬선증생반방광결석가이경가명현강저혈청PSA,대환자적성공능영향경소,개선환자생활질량.
Objective To explore the influence of transurethral plasmakinetic resection of the prostate (PKRP) plus titanium laser lithotripsy on prostate-specific antigen(PSA) and sexual function in prostate hyperplasia patients complicated with bladder stones.Methods 62 patients with prostate hyperplasia and bladder stones were randomly divided into the observation group (n =31 cases) and the control group (n =31 cases).The patients in the observation group were operated through PKRP plus titanium laser lithotripsy,while the patients in the control group were operated through transurethral prostatectomy (TURP) plus pneumatic lithotripsy.Serum PSA was detected before and after operation.Sexual function was evaluated six months after operation.Results The IIEF-5 score in two groups were all decreased after operation.Postoperative IIEF-5 score of the observation group had no significant difference compared with that before operation(t =0.3896,P ＞ 0.05).Postoperative IIEF-5 score of the control group had significant difference compared with that before operation (t =4.2820,P ＜ 0.05).The difference between the two groups was significant (t =3.7473,P ＜ 0.05).Serum PSA in two groups were all significantly decreased 1 month after operation(t =2.0423,15.3077,P ＜ 0.01).It in the observation group was lower than that in the control group(t =13.2142,P ＜ 0.05).Conclusion PKRP plus titanium laser lithotripsy can decrease serum PSA and improve sexual function in prostate hyperplasia patients complicated with bladder stones.
