摘要
目的探讨腔内剜除法对经尿道前列腺电切术后产生急迫性尿失禁的影响。方法对112例行经尿道等离子体前列腺切除术前列腺增生患者进行同期对照研究,其中采用顺行电切法67例,腔内剜除法45例,对两组患者暂时性尿失禁发生率进行χ2检验,对比两组各临床参数如术前后功能性尿道长度、拔除尿管后暂时性尿失禁症状出现及恢复时间进行成组独立样本均数t检验。结果腔内剜除组术后暂时性尿失禁发生率高于顺行电切组,术后功能性尿道长度小于顺行电切组,拔除尿管后暂时性尿失禁症状出现时间较顺行电切组短而恢复时间较长,差异均具有显著性(P<0.01或P<0.05)。结论前列腺电切术中采用腔内剜除法导致急迫性尿失禁发生率增高,其可能与功能性尿道长度减少而降低尿道关闭面积有关。
【Objective】To investigate the effect of intracavitary enucleation in transurethral prostatectomy to urge incontinence after operation. 【Methods】112 cases of benign prostatic hyperplasia, were divided into two groups with concurrent control, 67 of them underwent transurethral prostatectomy with along-shear management, 45 of them underwent transurethral prostatectomy with intracavitary enucleation. The incidence rate of temporary incontinence in two groups were analyzed with chi-squared test. The functional urethral length in preoperation and postoperation, the occurrence time and recovery time of temporary incontinence symptoms were analyzed with independent sample t test. 【Results】The incidence rate of temporary incontinence was higher than, the functional urethral length was less, the occurrence time was faster and the recovery time was slower in the intracavitary enucleation group than in the along-shear management group. The above differences were statistically significant （P 0.01 or P 0.05）. 【Conclusions】Intracavitary enucleation in transurethral prostatectomy can lead to the increase of urge incontinence, which may be relative to the decrease of functional urethral length and urethra closure areas.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第10期1054-1056,共3页
China Journal of Endoscopy
