Multivariate analysis of transurethral plasmakinetic prostatectomy in improving nocturia in patients with benign prostatic hyperplasia
Objective To investigate the effect of transurethral plasmakinetic prostatectomy(TUPKP)on nocturia in patients with benign prostatic hyperplasia(BPH)and its influence on postoperative efficacy.Methods A total of 158 patients with benign prostatic hyperplasia in Shijiazhuang People's Hospital from May 2016 to July 2018 were randomly divided into two groups.71 cases in the control group(CG)underwent transurethral resection of the prostate,and 87 cases in the observation group(OG)underwent transurethral plasmakinetic resection of the prostate.The preoperative and postoperative PSA,maximum urinary flow rate,nocturia and frequency of urination,IPSS score and PABSS score were compared between the two groups.The quality of life scores before and after operation were compared between the two groups.Logistic analysis was used to analyze the related factors affecting the postoperative efficacy of patients.Results The PSA and maximum urinary flow rate of the two groups were improved after surgery,and the nocturia and frequency of urination were significantly reduced after surgery.The IPSS score,OABSS score and QOL score of the two groups were lower than those before surgery(P＜0.05).Multivariate Logistic regression showed that age,frequency of micturition,nocturia frequency,IPSS score and OABSS score were the influencing factors affecting the efficacy of patients(P＜0.05).Conclusion TUPKP is an effective method for the treatment of benign prostatic hyperplasia.Age,frequent nocturia,high IPSS and OABSS scores are independent factors affecting the improvement of nocturia symptoms after operation.
万方数据
维普
