前列腺癌患者术后尿失禁发生现状及影响因素

Status and Influencing Factors of Postoperative Urinary Incontinence in Patients with Prostate Cancer

目的分析前列腺癌患者术后尿失禁发生现状及影响因素。方法回顾性分析2016年1月至2018年12月本院完成前列腺癌根治术及术后6个月随访的患者200例临床资料。统计术后尿失禁发生情况,并收集患者的基线资料,经单因素与多因素分析引发前列腺癌患者术后尿失禁的影响因素。结果随访6个月,200例前列腺癌根治术手术患者中尿失禁36例,发生率为18.00%;将全部可能的影响因素纳入,经Logistic回归分析显示,术前放疗、术中未保留膀胱颈、术前尿路感染、术前国际前列腺症状评分(IPSS)评分≥20分是术后尿失禁发生的危险因素(OR>1,P<0.05)。结论术前放疗、术中未保留膀胱颈、术前尿路感染、术前膀胱功能障碍是引发术后尿失禁的危险因素,故临床可据此进行合理的干预,以降低术后尿失禁发生率。

Objective To analyze the status of and influencing urinary incontinence in patients with prostate cancer.Methods The 200 cases of 6 months of radical prostate cancer from January 2016 to December 2018 were retrospectively analyzed.The postoperative urinary incontinence was counted,and the baseline data were collected,and the influencing factors of postoperative urinary incontinence in prostate cancer patients were analyzed through single factor and multiple factors.Results After 6-month period,36 urinary incontinence occurred at 18.00%;all possible influencing factors were included by Logistic regression analysis,preoperative radiotherapy,preoperative bladder neck,preoperative urinary tract infection,preoperative international prostate symptom score(IPSS)score were risk factors for postoperative urinary incontinence(OR>1,P<0.05).Conclusion preoperative radiotherapy,no bladder neck,preoperative urinary tract infection and preoperative bladder dysfunction are risk factors,allowing reasonable intervention to reduce the incidence of postoperative urinary incontinence.