可视化电生理诊断与治疗技术早期干预前列腺剜除术后尿失禁

Visual Electrophysiological Diagnosis and Treatment Technology for Early Intervention of Urinary Incontinence After TUERP

【目的】总结可视化电生理诊断与治疗技术在经尿道前列腺剜除术(TUERP)后早期干预对术后尿失禁的作用。【方法】选取2020年12月至2022年6月在东莞市人民医院普济院区接受TUERP的良性前列腺增生症(BPH)患者86例作为治疗组,术后第6天拔除尿管当天接受可视化电生理诊断及治疗;选取同期接受TUERP的BPH患者79例作为对照组,术后第6天拔除尿管不进行电生理技术干预。比较两组患者术后6天、1个月及3个月的尿失禁比率。【结果】两组术前基数资料组间比较差异无统计学意义,术后第6天拔除尿管出现尿失禁的比率分别为:治疗组13例(15.1%),对照组12例(15.2%),两组间差异无统计学意义(P>0.05),两组总体术后尿失禁发生率15.2%(25/165)。随访至术后1月时,治疗组尿失禁患者为4例(4.65%),对照组尿失禁患者为13例(16.5%),两组间差异有统计学意义(P=0.019)。随访至术后3月时,治疗组无尿失禁患者,对照组仍有7例(8.86%)尿失禁患者,差异具有统计学意义(P=0.005)。【结论】可视化电生理诊断与治疗技术早期干预可以有效防治TUERP术后尿失禁的发生,具有良好的临床应用价值。

【Objective】To summarize the effect of visual electrophysiological diagnosis and treatment technology on postoperative urinary incontinence in early intervention after transurethral enucleation and resection of the prostate(TUERP).【Methods】Totally 86 patients with benign prostatic hyperplasia(BPH)who underwent TUERP in the Puji Branch Hospital of Dongguan People's Hospital from December 2020 to June 2022 were selected as the treatment group,who received electrophysiological treatment after postoperative removal of the catheter on the 6th day after surgery,while 79 cases who received no electrophysiological treatment after surgery were selected as the control group.The urinary incon-tinence rates of the two groups on the 6th day,at 1 month and 3 months after surgery were observed.【Results】There was no statistical difference between the two groups in the preoperative basic data.The rates of urinary incontinence after removal of the catheter in the two groups on the 6th day after surgery were 13 cases(15.1%)in the treatment group and 12 cases(15.2%)in the control group.There was no significant difference between the two groups(P>0.05),and the overall post-operative urinary incontinence rate in the two groups was 15.2%(25/165).At one month after surgery,only 4 cases(4.65%)had slight urinary incontinence in the treatment group,while 13 cases(16.5%)in the control group still had uri-nary incontinence,and the difference between the two groups was statistically significant(P=0.019).After follow-up to three months after operation,there was no case of urinary incontinence in the treatment group,and there were still 7 cases(8.86%)of urinary incontinence in the control group.The difference between the two groups was statistically significant(P=0.005).【Conclusion】The early intervention of visual electrophysiological diagnosis and treatment technology can effec-tively prevent the occurrence of urinary incontinence after TUERP,and has good value in clinical application.