摘要
目的 探讨腹腔镜前列腺癌根治术后尿失禁发生的相关危险因素。方法 回顾性分析2015年1月至2018年1月期间于本院行腹腔镜前列腺癌根治性切除术的54例患者的临床特征与术后3个月尿失禁之间的相关性。结果 25例(46.3%)患者出现术后尿失禁,与非尿失禁患者比较,单因素分析结果显示,在患者年龄、术前前列腺特异性抗原(prostate specific antigen,PSA)、前列腺体积、术前膀胱残余尿量、术前尿失禁、泌尿系感染6个因素上比较,差异有统计学意义(P<0.05)。术后尿失禁与BMI、术前病理Gleason评分、经尿道前列腺电切术病史、手术时间、术后血白细胞计数、术后血白蛋白计数、尿管停留时间等因素均无相关性。多因素回归分析显示年龄(OR=0.842,95%CI=0.712-0.997,P=0.046)、术前尿失禁病史(OR=7.884,95%CI=2.366-45.516,P=0.021)、泌尿系感染(OR=5.139,95%CI=1.062-24.861,P=0.042)与术后尿失禁的发生具有相关性。结论 腹腔镜前列腺癌根治术后3个月尿失禁的发生与年龄、术前尿失禁病史以及泌尿系感染相关。
Objective To identify the risk factors of urinary incontinence after laparoscopic radical prostatectomy.Methods In the retrospective study,54 patients who received laparoscopic radical prostatectomy in our hospital from January 2015 to January 2018 were reviewed.The correlation analysis of the clinical characteristics and postoperative urinary incontinence at the third month was performed.Results Postoperative urinary incontinence occurred in 25 cases(46.3%)of all these patients.The results of the one-way ANOVA on the postoperative urinary incontinence group and the non postoperative urinary incontinence group showed that there were statistically significant differences in patients’age,preoperative prostate specific antigen(PSA),prostate volume,preoperative urinary bladder residual urine volume,preoperative urinary incontinence,urinary tract infection(P<0.05);there was no significant correlation between the postoperative urinary incontinence and BMI(body mass index),preoperative pathological Gleason score,history of transurethral resection of the prostate,length of surgery,postoperative leucocyte count,postoperative serum albumin,retention time of urethral catheter.The multivariate analysis showed that,age(OR=0.842,95%CI=0.712-0.997,P=0.046),preoperative urinary incontinence(OR=7.884,95%CI=2.366-45.516,P=0.021),urinary tract infection(OR=5.139,95%CI=1.062-24.861,P=0.042)were significantly correlated with the development of the postoperative urinary incontinence.Conclusion The incidence of postoperative urinary incontinence at the third month after laparoscopic radical prostatectomy was significantly correlated with increasing age,preoperative urinary incontinence,and urinary tract infection.
作者
陈宣霖
许汉标
刘陈黎
杨海超
廖锦先
Chen Xuanlin;Xu Hanbiao;Liu Chenli;Yang Haichao;Liao Jinxian(Graduate School,Guangdong Medical University,Zhanjiang 524023,China;Huizhou No.2 Maternal and Child Health Care Hospital,Huizhou 516000,China;uizhou Municipal Central Hospital,Huizhou 516000,China)
出处
《国际医药卫生导报》
2018年第23期3595-3599,共5页
International Medicine and Health Guidance News
关键词
根治性前列腺切除术
尿失禁
泌尿系感染
Radical prostatectomy
Urinary incontinence
Urinary tract infection
