摘要
目的评价保留前叶经尿道前列腺剜除术尿失禁情况。方法选取160例良性前列腺增生患者,80例行经尿道等离子前列腺电切术(PKRP组),80例行保留前叶经尿道等离子前列腺剜除术(PKEP组)。比较2组患者术后尿失禁情况,分析尿失禁例数、恢复时间,根据术式、年龄、前列腺体积、IPSS、Qmax、RUV等因素分析尿失禁情况。结果 2组患者各类型尿失禁发生率及总发生率差异无统计学差异;2组患者在拔除尿管后1天、1周、2周、1个月及3个月,尿失禁发生率无统计学差异;2组尿失禁患者均在3个月内完全恢复。在年龄及前列腺体积方面,尿失禁组与无尿失禁组比较,均有统计学意义;在IPSS、Qmax、RUV方面,尿失禁组与无尿失禁组比较,均无统计学意义。结论保留前叶经尿道前列腺剜除术后尿失禁发生率及恢复时间与经尿道前列腺电切术相当,无真性尿失禁,尿失禁风险低,安全有效,年龄、前列腺体积为术后尿失禁高危因素。
Objective To evaluate the urinary incontinence of transurethral prostatic enucleation with anterior lobe preservation. Methods A total of 160 patients with benign prostatic hyperplasia were selected,80 patients underwent transurethral plasma resection of the prostate( PKRP group),and 80 patients underwent anterior lobe-sparing transurethral plasma prostatectomy( PKEP group). The postoperative urinary incontinence of the two groups were compared,the number of urinary incontinence cases and the recovery time were analyzed,and the urinary incontinence was analyzed according to factors such as operation procedure,age,prostate volume,IPSS,Qmax,RUV,etc. Results There was no statistical difference in the incidence and total incidence of various types of urinary incontinence in the two groups;there was no statistical difference in the incidence of urinary incontinence in the two groups at 1 day,1 week,2 weeks,1 month and 3 months after the catheter was removed According to the academic difference,both groups of urinary incontinence patients recovered completely within 3 months. In terms of age and prostate volume,the comparison between the urinary incontinence group and the non-incontinence group was statistically significant;in terms of IPSS,Qmax,and RUV,the comparison between the urinary incontinence group and the non-incontinence group was not statistically significant. Conclusion The incidence and recovery time of urinary incontinence after transurethral prostatic enucleation with preserving anterior lobe are equivalent to those of transurethral resection of the prostate. There is no true urinary incontinence,and the risk of urinary incontinence is low,safe and effective. Age and prostate volume are high risk factors for postoperative urinary incontinence.
作者
林阳彦
邱春明
杨勇
孙灿标
张国飞
LIN Yangyan;QIU Chunming;YANG Yong;SUN Canbiao;ZHANG Guofei(Nanhai Hospital of Southern Medical University,Foshan 528244,China;不详)
出处
《现代医院》
2020年第12期1859-1861,1865,共4页
Modern Hospitals
基金
佛山市科技计划项目基金资助(2017AB000672)。
关键词
前列腺增生
等离子电切术
等离子剜除术
保留前叶
尿失禁
Benign prostatic hyperplasia
Transurethral plasmakinetic resection of prostate
Transurethral plasmakinetic enucleation of prostate
Anterior lobe preserved
Urinary incontinence
