摘要
目的观察良性前列腺增生腔内手术后患者的恢复过程以及手术对性欲、性能力的影响等。方法采用自编定式问卷调查对300例良性前列腺增生腔内手术后的患者进行3￣6个月的观察与随访,其中前列腺汽化(TVP)45例,汽化+电切(TVP+TURP)190例,等离子汽化电切(TUPKP)65例。结果3种模式的前列腺腔内手术后,血尿持续时间与尿痛持续时间比较差异无显著性(P>0.05);术后有明显脱痂过程的发生率比较,TVP组高于TVP+TURP组和TUPKP组(P<0.05)。大于半数的术前有性功能的患者认为前列腺腔内手术对性欲有影响,其原因多为心理因素;术后6个月约93.1%的患者恢复了正常性生活。结论大多数的手术并发症是在术后1￣3个月内发生的,积极处理有利于患者尽早康复。腔内泌尿外科医生应当重视前列腺腔内手术后恢复期的观察与随访。
[Objective] To survey the convalescent process of 300 BPH patients who treated with transurethral prostatectomy by 3-6 months. In which 45 cases were treated with transurethral vaporization （TVP）, 190 cases treated with TVP combined with transurethral electroresection （TURP） and 65 cases treated with transurethral plasmakinetic prostatectomy （TUPKP）. [Methods] All patients were surveyed by a questionnaire to see the convalescent process and the influence of sexual function after transurethral prostatectomy. [Results] Three modes were performed, which did not show obvious differences between the duration of macroscopic hematuria and irritative voiding symptoms （P 〉0.05）. Compared the rate of the cases which had obvious doff scab process in convalescent period, TVP group is higher than TVP＋TURP and TUPKP groups （P 〈0.05）. Most of patients considered that transurethral operation impaired their sexuality who reported normal relationship before prostatectomy. It most was caused by psychogenic aberration. After 6 months, 93.1% patients recovered the normal sexuality. [Conclusions] Most complications were occurred in 1-3 months after transurethral prostatectomy, so the active treatments were advantageous to sufferers＇ recovery as soon as possible. Urologists should put attach importance to the survey work of the patients who treated with transurethral prostatectomy.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第4期403-405,408,共4页
China Journal of Endoscopy
关键词
前列腺增生症
经尿道前列腺切除
恢复期
随访
benign prostatic hyperplasia
transurethral prostatectomy
convalescent period
follow-up survey
