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目的:研究在等离子前列腺剜除术中行保留膀胱颈完整性干预对患者术后性功能以及控尿情况的影响。方法:依据是否保留膀胱颈将在2015年2月至2016年2月期间来广州市越秀区中医医院就诊的66例行等离子前列腺剜除术的良性前列腺增生患者随机分为两组,即为参照组(n=33)与观察组(n=33),将不保留膀胱颈的患者作为参照组,将保留膀胱颈的患者作为观察组,对比分析两组患者术后控尿及性功能的情况。结果:经对症治疗之后,观察组患者阴茎勃起功能率、控尿率、逆行射精率、国际前列腺症状评分(IPSS)评分、残余尿量(PVR)、最大尿流率(Qmax)等指标均显著优于参照组,差异有统计学意义(P<0.05)。结论:将保留膀胱颈完整性干预应用在等离子前列腺剜除术患者中可以改善术后患者尿流动力学,提升控尿率,改善患者性功能。
Objective: To study the effect of preserving the integrity of the bladder neck in patients with plasma prostatectomy on postoperative sexual function and urine control. Methods: Sixty-six patients with benign prostatic hyperplasia who underwent plasma prostatectomy who were treated at Guangzhou Yuexiu District Traditional Chinese Medicine Hospital from February 2015 to February 2016 were randomly divided into two groups according to whether the bladder neck was reserved. (N = 33) and observation group (n = 33). The patients who did not retain the bladder neck were taken as the reference group. The patients who retained the bladder neck were selected as the observation group. The postoperative urinary control and sexual function were compared between the two groups . Results: After symptomatic treatment, the indicators such as penile erection rate, urine control rate, retrograde ejaculation rate, IPSS score, residual urine volume (PVR) and maximal flow rate (Qmax) in observation group were significant Better than the reference group, the difference was statistically significant (P <0.05). Conclusion: The application of preserving bladder neck integrity intervention in patients undergoing plasma prostatectomy can improve urodynamics, improve the control of urine and improve the sexual function in patients.