良性前列腺增生患者红激光剜除术后并发症发生现状及影响因素分析

Analysis of incidence and risk factors of complications after diode laser enucleationin in patients with benign prostatic hyperplasia

目的:研究良性前列腺增生患者红激光剜除术后并发症发生现状,并分析其影响因素。方法:选取2018年1月至2020年1月我院收治的良性前列腺增生行红激光剜除术患者80例为研究对象,采用自制问卷收集患者一般资料,并对红激光剜除术后并发症发生现状及其影响因素进行分析。结果:80例前列腺增生患者红激光剜除术后随访6个月,并发症发生率为17.5%(14/80),其中发生尿路感染、短暂性尿失禁各4例,膀胱痉挛、尿道狭窄各3例;影响因素分析结果显示,年龄、服用免疫抑制剂、引流状况、尿管留置时间、手术时间、合并糖尿病、前列腺体积均为红激光剜除术后并发症发生的影响因素(P<0.05);多因素Logistic回归分析结果显示,年龄大、尿管留置时间和手术时间长均为红激光剜除术后并发症发生的影响因素(OR分别为3.801、4.132和2.367,95%CI分别为1.312~8.732、1.561~10.953和1.153~5.626,P<0.05)。结论:通过分析良性前列腺增生患者红激光剜除术后并发症发生现状及影响因素,可为临床干预提供参考依据,降低并发症发生率。

Objective:To investigate the incidence of complications after diode laser enucleation in patients with benign prostatic hyperplasia(BPH)and to analyze the influencing factors.Methods:A total of 80 patients with BPH admitted to our hospital from Jan 2018 to Jan 2020 who underwent diode laser enucleation were included in the study.The general data of the patients were collected by self-made questionnaire,and the incidence of complications after diode laser enucleation and its influencing factors were analyzed.Results:The patients with BPH after diode laser enucleation were followed up for 6 months.The incidence of complications was 17.5%(14/80),and there were 3 cases(3.75%)with bladder spasm,4 cases(5.0%)with urinary tract infection,4 cases(5.0%)with transient urinary incontinence,and 3 cases(3.75%)with urinary tract stenosis.The results showed that age,taking immunosuppressanst,drainage status,time of indwelling urinary catheter,operation time,diabetes and prostate volume were influencing factors for the complications after diode laser enucleation(P<0.05).Multivariable logistic regression analysis showed that elder(OR=3.801,95%CI:1.312-8.732,P<0.05),long-time indwelling catheter(OR=4.132,95%CI:1.561-10.953,P<0.05)and long operation time(OR=2.367,95%CI:1.153-5.626,P<0.05)were influencing factors for complications.Conclusion:By analyzing the incidence and influencing factors of complications after diode laser enucleation in patients with BPH,it can provide reference for clinical intervention and reduce the incidence of complications.