改良控尿技术在良性前列腺增生患者中的应用价值研究

Study on the value of improved urinary control technology in patients with benign prostatic hyperplasia

目的探讨改良控尿技术在良性前列腺增生(BPH)患者中的应用效果。方法选取2017年6月至2020年8月安徽省太和县人民医院收治的83例BPH患者,按随机数字表法分为对照组(41例)和观察组(42例),对照组采用常规经尿道前列腺等离子剜除术,观察组采用改良控尿技术。比较两组手术情况、排尿功能、尿控功能、性功能及并发症发生率。结果观察组手术时间长于对照组[(78.67±20.04)min比(69.52±18.66)min],术后住院时间短于对照组[(8.64±2.66)d比(10.95±3.01)d],差异有统计学意义(P<0.05)。两组术后1、3个月残余尿量、最大尿流率比较差异无统计学意义(P>0.05)。观察组拔管后24 h、1周、2周尿失禁发生率低于对照组[11.90%(5/42)比36.59%(15/41)、4.76%(2/42)比21.95%(9/41)、2.38%(1/42)比19.51%(8/41)],差异均有统计学意义(P<0.05)。术后3个月观察组性功能不良事件总发生率低于对照组[4.76%(2/42)比19.51%(8/41)],差异有统计学意义(P<0.05)。结论改良控尿技术在BPH患者中的应用效果显著,可有效改善患者排尿功能,保护尿控功能及性功能。

Objective To explore the application effect of improved urinary control technology in patients with benign prostatic hyperplasia(BPH).Methods A total of 83 BPH patients admitted to Taihe County People′s Hospital of Anhui Province from June 2017 to August 2020 were selected and divided into the control group(41 cases)and the observation group(42 cases)by a random number table.The control group performed transurethral plasma kinetic enucleation of prostate(PKEP),and the observation group performed modified urinary control technology.The general conditions of surgery,voiding function,urinary control function,sexual function and complication rate were compared between the two groups.Results Compared with the control group,theoperation time in the observation group was longer and the postoperative hospital stay was shorter:(78.67±20.04)min vs.(69.52±18.66)min,(8.64±2.66)d vs.(10.95±3.01)d,there were statistical differences(P<0.05).The postvoid residual(PVR)and the maximum flow rate(Qmax)in the two groups at 1 month and 3 months after operation had no significant differences(P>0.05).The incidence of urinary incontinence in the observation group at 24 h,1 week,and 2 weeks after extubation were lower than those in the control group:11.90%(5/42)vs.36.59%(15/41),4.76%(2/42)vs.21.95%(9/41),2.38%(1/42)vs.19.51%(8/41),there were statistically differences(P<0.05).After operation for 3 months,the total incidence of adverse events in the observation group was lower than that in the control group:4.76%(2/42)vs.19.51%(8/41),P<0.05.Conclusions The improved urinary control technology has a significant application effect in BPH patients.It can effectively improve the patient′s urination function,protect urinary control and sexual function.