首页|经尿道前列腺剜除术后短期尿失禁的危险因素分析

经尿道前列腺剜除术后短期尿失禁的危险因素分析

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目的 分析经尿道前列腺剜除术后短期尿失禁的相关危险因素.方法 回顾性分析2019年10月至2022年10月在河南省人民医院诊治的良性前列腺增生(benign prostatic hyperplasia,BPH)并接受经尿道前列腺剜除术(transurethral enucleation of the prostate,TUEP)手术治疗的255位患者的病例资料.根据患者术后1月内是否出现尿失禁(UI)症状,将其分为非尿失禁组和尿失禁组,对两组患者的年龄、体重指数、高血压、糖尿病、吸烟史及饮酒史、术前下尿路症状持续时间、前列腺体积、f/tPSA、NLR、SⅡ、手术时间、术中出血量、尿白细胞、尿管术后留置时间等变量进行差异性分析,进一步采用二元logistic回归分析进一步探究TUEP术后短暂尿失禁症状的独立危险因素.结果 单因素分析显示,尿失禁组患者的术前下尿路症状持续时间、前列腺体积、NLR、年龄、住院时长、手术时间、术中出血量均高于非尿失禁组,差异具有统计学意义(P<0.05).多因素logistic回归性分析显示,术前下尿路症状持续时间(OR=2.397,CI:1.076~5.336,P=0.032)、前列腺体积(OR=23.000,CI:10.155~52.092,P<0.001)、NLR(OR=4.469,CI:1.063~2.444,P=0.024)、手术时间(OR=0.307,CI:0.138~0.686,P=0.004)是经尿道前列腺剜除术后短期尿失禁的独立危险因素.结论 术前下尿路症状持续时间≥5年、前列腺体积≥70 mL、NLR≥3、手术时间≥110 min是经尿道前列腺剜除术后短期尿失禁的独立危险因素.
Analysis of risk factors for short-term urinary incontinence after transurethral enucleation of prostate
Objective To analyze the risk factors of short-term urinary incontinence after transurethral enucleation of the prostate related risk factors.Methods The case data of 255 patients with benign prostatic hyperplasia(BPH)who were diagnosed and treated in Henan Provincial People Hospital from October 2019 to October 2022 and underwent tran-surethral enucleation of the prostate(TUEP)were retrospectively analyzed.Patients were divided into non-incontinence group and incontinence group.Patients were divided into non-incontinence group and incontinence group according to whether they developed symptoms of urinary incontinence(UI)within 1 month after surgery.Differences in age,body mass index,hypertension,diabetes,smoking and drinking history,preoperative duration of lower urinary tract symptoms,prostate volume,f/tPSA,NLR,SⅡ,operative time,intraoperative blood loss,urinary white blood cells,and urinary catheter retention time were analyzed between the two groups.Binary logistic regression analysis was used to further explore the independent risk factors for transient urinary incontinence symptoms after TUEP.Results Univariate analysis showed that the duration of preoperative lower urinary tract symptoms,prostate volume,NLR,age,length of hospitalization,opera-tion time,and intraoperative blood loss of patients in the urinary incontinence group were all higher than those in the non-urinary incontinence group,and the differences were statistically significant(P<0.05).Multivariate logistic regres-sion analysis showed that the duration of preoperative lower urinary tract symptoms(OR=2.397,CI:1.076-5.336,P=0.032),prostate volume(OR=23.000,CI:10.155-52.092,P<0.001),NLR(OR=4.469,CI:1.063-2.444,P=0.024)and operation time(OR=0.307,CI:0.138-0.686,P=0.004)are independent risk factors for short-term urinary incontinence after transurethral prostatectomy.Conclusion Preoperative lower urinary tract symp-tom duration ≥5 years,prostate volume ≥70mL,NLR≥3,and operation time ≥ 110min are independent risk factors for short-term urinary incontinence after transurethral enucleation of the prostate.

Prostatic hyperplasiaTransurethral enucleation of the prostateUrinary incontinenceneutrophil lymphocyte ratio

张汉青、孔朝辉、王蓬勃、张争

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河南大学人民医院,河南省人民医院泌尿外科,郑州 450003

前列腺增生 经尿道前列腺剜除术 尿失禁,中性粒细胞-淋巴细胞比值

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(9)
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