前列腺电切术中出血量与术后膀胱痉挛及精神障碍相关性研究

Clinical study on the correlation of hemorrhage in transurethral resection of prostate with cystospasm and psychonosema

目的探讨良性前列腺增生患者接受经尿道前列腺电切手术术中出血量与术后发生膀胱痉挛及精神障碍的相关性。方法回顾分析我科2009年至2013年5年共322例良性前列腺增生接受经尿道前列腺电切术的患者资料。筛选出的病例根据出血量(H)分组为H<400 m L、400 m L≤H<600 m L、600 m L≤H<800 m L、H≥800 m L 4组。根据无明显症状、症状轻微无需处理、症状较重需要处理的标准计算术后发生膀胱痉挛及精神障碍严重程度及病例数。采用统计学方法比较各组之间的差异。结果膀胱痉挛及精神障碍发生率及严重程度随术中出血量的增加而增加。结论良性前列腺增生患者接受经尿道前列腺电切术后膀胱痉挛及精神障碍的发生率随着术中出血量的增加而增加。

Objective To investigate the correlation between hemorrhage in transurethral resection of prostate（ TURP） and cystospasm and psychonosema of the patients with hyperplasia of prostate. Methods All clinic data of 322 patients with hyperplasia of prostate who have had TURP from 2009 to 2013 were reviewed. These patients were divided into four groups according to the volume of hemorrhage（ H） ： H 400 m L,400≤H〈 600 m L,600≤H 〉800 m L,H≥800 m L. The quantity of cystospasm and psychonosema was measured by three categories： no symptom,light symptom without treatment,severe symptom with treatment. The differences of the four groups were compared through statistical methods. Results The incidence rates of cystopasm and severity degree of psychonosema were increased with the raise of hemorrhage. Conclusion There is a positive correlation between the incidence rates of cystopasm and psychonosema and the volume of hemorrhage in the patients with hyperplasia of prostate who have had TURP.