老年前列腺增生患者经尿道前列腺等离子电切术后膀胱痉挛与术中出血量的关系

Relationship Between Intraoperative Blood Loss and Postoperative Bladder Spasm of Transurethral Plasmakinetic Resection of Prostate for the Treatment of Elderly Patients with Prostatic Hyperplasia

目的探讨老年前列腺增生患者经尿道前列腺等离子电切术后膀胱痉挛与术中出血量的关系。方法选取行经尿道前列腺等离子电切术治疗的老年前列腺增生患者80例,依据术中出血量分为高量组(>500 mL,30例)和低量组(≤500 mL,50例)。结果高量组的术后膀胱痉挛发生率、痉挛次数和严重程度明显高于低量组(P<0.05);Pearson相关性分析显示,术中出血量与术后膀胱痉挛的次数呈正相关(r=0.675,P<0.05)。结论老年前列腺增生患者经尿道前列腺等离子电切术后膀胱痉挛的发生与术中出血量相关,膀胱痉挛的次数随出血量的增加而增加。

Objective To explore the relationship between intraoperative blood loss and postoperative bladder spasm of transurethral plasmakinetic resection of prostate （TPRP） for the treatment of elderly patients with prostatic hyperplasia. Methods 80 cases of elderly patients with prostatic hyperplasia underwent TPRP were selected. According to the amount of intraoperative blood loss, all cases were divided into high volume group （〉500 mL, 30 cases） and low volume group （≤500 mL, 50 cases）. Results The incidence of postoperative bladder spasm, frequency of spasm, and severity of spasm of high volume group were significantly higher than those of low volume group （P 〈0.05）. Pearson correlation analysis showed that intraoperative blood loss was positively correlated with frequency of postoperative bladder spasm （r = 0.675, P〈0.05）. Conclusions The incidence of bladder spasm after TPRP in elderly patients with prostatic hyperplasia is closely related with intraoperative blood loss, and the frequency of spasm increases along with the increase of blood loss volume.