摘要
目的分析影响经尿道钬激光前列腺剜除术(HoLEP)患者术后发生压力性尿失禁的危险因素,为尿失禁防治提供临床依据。方法收集行经尿道钬激光前列腺剜除术的458例前列腺增生患者的临床资料,筛选术后发生压力性尿失禁28例,回顾其人口学情况、合并疾病、膀胱功能、手术情况等可能引起术后压力性尿失禁的相关资料,分析影响经尿道钬激光前列腺剜除患者术后发生压力性尿失禁的危险因素。结果458例患者中,术后3个月发生压力性尿失禁28例,发生率6.11%;尿失禁组年龄≥70岁、合并糖尿病、前列腺体积≥80 ml、手术时间≥50 min所占比例高于非尿失禁组(P<0.05);年龄、合并糖尿病、前列腺体积、手术时间均为导致前列腺增生患者术后压力性尿失禁发生的危险因素(P<0.05)。结论高龄、合并糖尿病、前列腺体积较大且手术时间较长经尿道钬激光前列腺剜除患者术后压力性尿失禁发生风险较高,建议积极控制以上危险因素,并给予积极的提肛肌训练指导,预防术后压力性尿失禁发生。
Objective To analyze the risk factors influencing occurrence of stress urinary incontinence(SUI)in patients after holmium laser enucleation of prostate(HoLEP)in order to provide clinical evidence for control of urinary incontinence.Methods The clinical data of 458 patients with benign prostatic hyperplasia(BPH)who underwent HoLEP were collected.From those data,28 patients with SUI after surgery were screened out.The related data such as demography,comorbidities,bladder function and operation conditions,which might cause SUI were reviewed.The risk factors influencing occurrence of SUI in patients after HoLEP were analyzed.Results Among the 458 BPH patients,there were 28 cases with SUI after 3 months of surgery(6.11%).The proportions of age≥70 years old,combined diabetes mellitus,prostate volume≥80 ml and operation time≥50 min in the urinary incontinence group were higher than those in the non-urinary incontinence group(P<0.05).Logistic regression analysis showed that age,diabetes mellitus,prostate volume and operation time were risk factors leading to occurrence of SUI in BPH patients after HoLEP(P<0.05).Conclusion The occurrence risk of SUI is relatively high in patients with advanced age,diabetes mellitus,large prostate volume and long operation time after HoLEP.It is recommended to actively control the above risk factors and give positive levator muscle training guidance to prevent occurrence of postoperative SUI.
作者
谢晓秀
蒋秀娟
杨方兰
文方兰
XIE Xiao-xiu;JIANG Xiu-juan;YANG Fang-lan;WEN Fang-lan(Hospital,Chengdu 611743,China)
出处
《实用医院临床杂志》
2020年第1期135-138,共4页
Practical Journal of Clinical Medicine
关键词
前列腺增生
经尿道钬激光前列腺剜除术
压力性尿失禁
影响因素
Benign prostatic hyperplasia
Holmium laser enucleation of prostate
Stress urinary incontinence
Influencing factor
