目的总结分析单极与双极经尿道前列腺电切术对患者排尿和勃起功能的影响。方法选择140例前列腺增生患者为研究对象,根据治疗方法不同分为单极组和双极组各70例,其中单极组接受单极经尿道前列腺电切术,双极组接受双极经尿道前列腺电切术,记录治疗后两组前列腺症状评分,观察3个月后两组患者排尿功能以及6个月后勃起功能。结果治疗后,双极组前列腺症状评分为(8.1±1.3)分,明显低于单极组的(10.5±2.1)分,差异有统计学意义(P<0.05);治疗3个月后,双极组排尿功能评价总有效率为91.43%(64/70),明显高于单极组的 78.57%(55/70);治疗6个月后,双极组勃起功能评价总有效率为85.71%(60/70),明显高于单极组的71.43%(50/70),差异有统计学意义(P<0.05)。结论与传统单极经尿道前列腺电切术相比,双极经尿道前列腺电切术治疗前列腺增生更有利于排尿功能及勃起功能的恢复。
ObjectiveTo analyze the effects of unipolar and bipolar transurethral resection of prostate (TRUP) on patients’ urination and erection. MethodsA total of 140 patients with prostatic hyperplasia were selected, and were divided into unipolar group and bipolar group according to the different treatment methods, with 70 cases in each group. The unipolar group and bipolar group received unipolar TRUP and bipolar TRUP respectively. The prostatic symptoms score after treatment were recorded in both groups. The urination function after 3 months of operation and erectile function after 6 months of operation were observed in both groups. ResultsAfter treatment, the prostatic symptoms score of the bipolar group was significantly lower than that of the unipolar group[(8.1±1.3)points vs. (10.5±2.1)points, P<0.05]. After 3 months of treatment, the total effective rate of the urination function in the bipolar group was significantly higher than that of the unipolar group[91.43% (64/70) vs. 78.57% (55/70)]. At 6 months after the treatment, the total effective rate for erectile function in the bipolar group was was significantly higher than that of the unipolar group [85.71% (60/70)vs.71.43% (50/70); P<0.05]. ConclusionCompared with the traditional unipolar transurethral TRUP, bipolar transurethral TRUP, can obtain better efficacy for the recovery of urination and erection in patients with prostatic hyperplasia.