| 肖云新,陈光耀.1470nm激光前列腺“全环预保留法”剜除术对术后尿失禁改善的临床研究[J].安徽医药,待发表. |
| 1470nm激光前列腺“全环预保留法”剜除术对术后尿失禁改善的临床研究 |
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| 投稿时间：2023-10-15 录用日期：2023-11-13 |
| DOI： |
| 中文关键词: 前列腺增生、1470nm激光、剜除效率、全环预保留、尿失禁 |
| 英文关键词: |
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| 中文摘要: |
| 目的 探讨1470nm激光前列腺“全环预保留法”剜除术对术后尿失禁改善情况。方法 收集并分析2022年1月至 2023年4月在广东医科大学附属阳江医院接受1470nm激光前列腺剜除术治疗的178例前列腺增生患者,通过掷硬币法将患者分为试验组88例,对照组90例。试验组术中采取全环预保留法,对照组术中采取传统剜除方法。记录一般资料、围术期指标、术前、拔尿管后2周、术后3个月的IPSS、QOL、Qmax、PvR等疗效指标、拔尿管后24h、1周、2周、1月尿失禁的发生率。结果 两组术前一般资料、剜除时间、血红蛋白下降值等指标对比无差异,试验组在剜除效率方面显著优于对照组(P＜0.001)；两组术前及术后3个月排尿情况Qmax、PvR、IPSS、QoL组间比较均无统计学差异,在拔尿管后2周,两组排尿情况均较术前好转,其中两组Qmax、PvR组间比较无明显差异(P＞0.05),但试验组IPSS和QoL优于对照组(P＜0.001)；术后并发症方面,试验组拔尿管后24小时尿失禁发生率为2例(2.3%),对照组13例(14.4%),拔尿管后1周,试验组无尿失禁病例,对照组仍有6例,两组拔尿管后24小时、1周尿失禁发生率差异有统计学意义(P＜0.05),两组拔尿管后2周、1月尿失禁发生率无统计学差异,两组其他术后症对比无差异。结论 采用1470nm激光前列腺“全环预保留法”剜除术的前列腺增生患者,术后尿失禁发生率低,疗效可靠,剜除效率高,是一种适合前列腺增生患者的安全、有效的手术方式。 |
| 英文摘要: |
| To investigate the improvement of postoperative urinary incontinence by "full ring pre-preservation" enucleation. .Methods：A total of 178 patients with prostatic hyperplasia who underwent 1470nm laser enucleation in Yangjiang Hospital affiliated to Guangdong Medical University from January 2022 to April 2023 were collected and analyzed, and the patients were divided into 88 cases in the experimental group and 90 cases in the control group by tossing a coin. The experimental group adopted the full ring pre-preservation method during surgery, and the control group adopted the traditional enucleation method without preserving the prostate tissue, and general information, perioperative indicators, IPSS, QOL, Qmax, PvR and other efficacy indicators such as IPSS, QOL, Qmax, PvR and other efficacy indicators were recorded before surgery, 2 weeks after urinary catheter extraction and 3 months after surgery. The incidence of urinary incontinence at 24 hours, 1 week, 2 weeks, and 1 month after urinary catheter extraction.Results：There was no difference in preoperative general data, enucleation time, hemoglobin decrease and other indexes between the two groups, and the experimental group was significantly better than the control group in terms of enucleation efficiency (P<0.001); there was no significant difference in urination between the two groups before surgery and 3 months after surgery, and the urination of the two groups was better than that before surgery 2 weeks after the removal of the ureter, and the urination of the two groups was better than that before surgery, and the Qmax, There was no significant difference between the PvR groups (P>0.05), but the IPSS and QoL in theexperimental group were better than those in the control group (P<0.001); in terms of postoperative complications, the incidence of urinary incontinence in the experimental group 24 hours after extubation was 2 cases (2.3%), 13 cases (14.4%) in the control group, 1 week after extubation, there were no cases of urinary incontinence in the experimental group, 6 cases in the control group, and there were statistically significant differences in the incidence of urinary incontinence in 24 hours and 1 week after extubation between the two groups (P<0.05), and 2 weeks after extubation in the two groups.There was no significant difference in the incidence of urinary incontinence in January, and there was no difference in the comparison of other postoperative conditions between the two groups.Conclusion：Prostatic hyperplasia patients using 1470nm laser prostate " full ring pre-retention" enucleation have a low incidence of postoperative urinary incontinence, reliable efficacy and high efficiency of removal, which is a safe and effective surgical method suitable for patients with prostatic hyperplasia. |
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