临床外科杂志 ›› 2019, Vol. 27 ›› Issue (2): 118-120.doi: 10.3969/j.issn.10056483.2019.02.010

• 论著 • 上一篇    下一篇

超声电导微波治疗前列腺结石对病人排尿功能和性功能的影响

  

  1. 南京医科大学第二附属医院泌尿外科
  • 出版日期:2019-02-20 发布日期:2019-03-05

Effect of prostate ultrasound on uresis function and sexual function in patients with prostatic calculus

  • Online:2019-02-20 Published:2019-03-05

摘要: 目的:探讨前列腺超声波治疗前列腺结石的临床效果。方法:前列腺结石病人68例,根据最终选取的治疗方式分为观察组(36例)和对照组(32例)。观察组给予超声电导微波治疗,对照组给予常规治疗,观察两组治疗前后前列腺结石大小、国际勃起功能指数5评分(IIEF5)等。结果:观察组治疗后1个月、3个月前列腺结石大小分别为(23.10±3.82)mm和(17.82±1.82)mm,低于对照组(P<0.05);观察组治疗后1个月、3个月IIEF5评分分别为(16.29±2.70)分和(13.82±1.91)分,明显低于对照组(P<0.05);观察组治疗后1个月、3个月最大尿流率分别为(8.72±0.98)ml/s和(14.10±1.21)ml/s,高于对照组(P<0.05),而残余尿量分别为(40.02±3.82)ml和(16.90±2.20)ml,明显低于对照组(P<0.05);观察组治疗后1个月、3个月前列腺特异性抗原(PSA)分别为(7.28±1.20)μg/L和(1.65±0.98)μg/L,明显低于对照组(P<0.05)。结论: 超声电导微波治疗前列腺结石有较好的效果,有利于改善病人性功能、排尿功能。

关键词: 超声电导微波治疗, 前列腺结石, 性功能, 排尿功能

Abstract: Objective:To explore the clinical effect of prostate ultrasound in treating prostatic calculus.Methods:68 patients with prostatic calculi were divided into observation group(n=36)and control group(n =32)according to the final treatment,the observation group was given ultrasonic conductive microwave therapy,while the control group was given conventional treatment,the size of prostate stones and the International Erectile Function Index5 score and so on were observed before and after treatment.Results:1 and 3 months after treatment,the size of prostate stones in the observation group were(23.10±3.82)mm2 and(17.82±1.82)mm2,which were significantly lower than those in the control group(P<0.05).The IIEF5 scores of the observation group at 1 month and 3 months after treatment were(16.29±2.70)and(13.82±1.91),which were significantly lower than those of the control group(P<0.05);The maximal urinary flow rate at 1 month and 3 months after treatment in the observation group were(8.72±0.98)ml/s and(14.10±1.21)ml/s,were significantly higher than that in the control group(P<0.05),while the residual urine volume was(40.02±3.82)ml and(16.90±2.20)ml,were significantly lower than that in the control group(P<0.05);The PSA of the observation group at 1 month and 3 months after treatment were(7.28±1.20)μg/L and(1.65±0.98)μg/L,were significantly lower than that of the control group(P<0.05).Conclusion:Ultrasoundguided microwave treatment of prostate stones has a better effect,is conducive to improving sexual function,uresis function.

Key words: ultrasound guided microwave therapy, prostatic calculus, sexual function, uresis function

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