探究良性前列腺增生患者再行TURP术后出现下尿路症状的相关影响因素。方法 选取行经尿道前列腺电切术(Transurethral Resection of the Prostate,TURP)的300例良性前列腺增生患者,均为我院2021年1月至2023年1月收入,根据术后是否发生下...探究良性前列腺增生患者再行TURP术后出现下尿路症状的相关影响因素。方法 选取行经尿道前列腺电切术(Transurethral Resection of the Prostate,TURP)的300例良性前列腺增生患者,均为我院2021年1月至2023年1月收入,根据术后是否发生下尿路症状分为发生组(n=70)和未发生组(n=230),收集患者基线资料,观察患者在术前、术中、术后出现的情况,运用单因素分析、多因素非条件Logistic回归分析,针对术后病理结果回报为前列腺增生的患者进行研究,明确术后发生下尿路症状的影响因素。结果 前列腺增生患者行TURP术后出现下尿路症状的主要影响因素包含:排尿习惯、病程、残余尿量、前列腺体积、国际前列腺症状评分(IPSS)和术后留置三腔导尿管的时间,结果 差异有统计学意义(P<0.05)。多因素非条件Logistic回归分析结果显示患者的憋尿习惯、病程长、前列腺体积较大、IPSS评分高、术后留置尿管时间较长、残余尿量多是影响前列腺增生患者术后发生下尿路症状的主要影响因素。结论 前列腺增生患者术后发生下尿路症状的影响因素有病程、IPSS评分高、憋尿习惯、残余尿量、前列腺体积、术后三腔尿管留置时间,为了改善手术效果和生活质量,必须根据所列因素采取相应的措施。展开更多
Objective:To conduct a systematic literature review on urethral calculi in a contemporary cohort describing etiology,investigation,and management patterns.Methods:A systematic search of MEDLINE and Cochrane Central Re...Objective:To conduct a systematic literature review on urethral calculi in a contemporary cohort describing etiology,investigation,and management patterns.Methods:A systematic search of MEDLINE and Cochrane Central Register of Controlled Trials(CENTRAL)databases was performed.Articles,including case reports and case series on urethral calculi published between January 2000 and December 2019,were included.Full-text manuscripts were reviewed for clinical parameters including symptomatology,etiology,medical history,investigations,treatment,and outcomes.Data were collated and analyzed with univariate methods.Results:Seventy-four publications met inclusion criteria,reporting on 95 cases.Voiding symptoms(41.1%),pain(40.0%),and acute urinary retention(32.6%)were common presenting features.Urethral calculi were most often initially investigated using plain X-ray(63.2%),with almost all radio-opaque(98.3%).Urethral calculi were frequently associated with coexistent bladder or upper urinary tract calculi(16.8%)and underlying urethral pathology(53.7%)including diverticulum(33.7%)or stricture(13.7%).Urethral calculi were most commonly managed with external urethrolithotomy(31.6%),retrograde manipulation(22.1%),and endoscopic in situ lithotripsy(17.9%).Conclusion:This unique systematic review of urethral calculi provided a summary of clinical features and treatment trends with a suggested treatment algorithm.Management in contemporary urological practice should be according to calculus size,shape,anatomical location,and presence of urethral pathology.展开更多
文摘探究良性前列腺增生患者再行TURP术后出现下尿路症状的相关影响因素。方法 选取行经尿道前列腺电切术(Transurethral Resection of the Prostate,TURP)的300例良性前列腺增生患者,均为我院2021年1月至2023年1月收入,根据术后是否发生下尿路症状分为发生组(n=70)和未发生组(n=230),收集患者基线资料,观察患者在术前、术中、术后出现的情况,运用单因素分析、多因素非条件Logistic回归分析,针对术后病理结果回报为前列腺增生的患者进行研究,明确术后发生下尿路症状的影响因素。结果 前列腺增生患者行TURP术后出现下尿路症状的主要影响因素包含:排尿习惯、病程、残余尿量、前列腺体积、国际前列腺症状评分(IPSS)和术后留置三腔导尿管的时间,结果 差异有统计学意义(P<0.05)。多因素非条件Logistic回归分析结果显示患者的憋尿习惯、病程长、前列腺体积较大、IPSS评分高、术后留置尿管时间较长、残余尿量多是影响前列腺增生患者术后发生下尿路症状的主要影响因素。结论 前列腺增生患者术后发生下尿路症状的影响因素有病程、IPSS评分高、憋尿习惯、残余尿量、前列腺体积、术后三腔尿管留置时间,为了改善手术效果和生活质量,必须根据所列因素采取相应的措施。
文摘Objective:To conduct a systematic literature review on urethral calculi in a contemporary cohort describing etiology,investigation,and management patterns.Methods:A systematic search of MEDLINE and Cochrane Central Register of Controlled Trials(CENTRAL)databases was performed.Articles,including case reports and case series on urethral calculi published between January 2000 and December 2019,were included.Full-text manuscripts were reviewed for clinical parameters including symptomatology,etiology,medical history,investigations,treatment,and outcomes.Data were collated and analyzed with univariate methods.Results:Seventy-four publications met inclusion criteria,reporting on 95 cases.Voiding symptoms(41.1%),pain(40.0%),and acute urinary retention(32.6%)were common presenting features.Urethral calculi were most often initially investigated using plain X-ray(63.2%),with almost all radio-opaque(98.3%).Urethral calculi were frequently associated with coexistent bladder or upper urinary tract calculi(16.8%)and underlying urethral pathology(53.7%)including diverticulum(33.7%)or stricture(13.7%).Urethral calculi were most commonly managed with external urethrolithotomy(31.6%),retrograde manipulation(22.1%),and endoscopic in situ lithotripsy(17.9%).Conclusion:This unique systematic review of urethral calculi provided a summary of clinical features and treatment trends with a suggested treatment algorithm.Management in contemporary urological practice should be according to calculus size,shape,anatomical location,and presence of urethral pathology.
