前列腺切除术后尿失禁影响因素分析  

Influencing factor analysis of urinary incontinence after prostatectomy

作　　者：单立平[1] 宋永胜[1] 赵世春 张朝旭[3] 

机构地区：[1]中国医科大学附属第二医院泌尿外科,辽宁沈阳110004 [2]岫岩县中心医院外科 [3]辽中县人民医院外科

出　　处：《中国医科大学学报》2006年第1期73-74,共2页Journal of China Medical University

摘　　要：目的:总结良性前列腺增生症(BPH)耻骨上前列腺切除术(SPP)和经尿道前列腺切除术(TURP)术后尿失禁的影响因素、预防措施及手术时机的选择。方法:830例病人分为2组,393例行SPP,437例行TURP。术前行相关尿流动力学检查,术后进行1、6、12个月追踪随访。结果:87.83%BPH术前并发膀胱功能改变,术后尿失禁均发生于失代偿的病人。结论:前列腺切除术后的尿失禁,膀胱功能障碍是其主要原因之一。通过尿流动力学检查术前评估病人的膀胱和括约肌功能,合理把握手术时机,争取在膀胱代偿期解决梗阻,可以减少术后尿失禁的发病率。Objective： To summarize the influencing factors and preventive measures of urinary incontinence after auprspubic prostateetomy （SPP） and transurethral resection of prostate （TURP） and the selection of operation opportusity in postients with benign praline hyperplasia. Methods： A total of 830 patients were divided into 2 groups： SPP group （393 patients） and TURP group （437 patients）. All patients received uredynamic tests before prostateetomy and were followed up 1 month, 6 months, and 12 months after prostateetomy. Results： Of all the patients, 87.83% had bladder dysfunction before prostateetomy. The patients with post-prostateetomy incontinence all had bladder dysfunction before prostatectomy. Conclusion： Bladder dysfunction is one of the major factors causing urinary ineontinenee after prostateetomy. Uredynamic tests are helpful in estimating the funetious of bladder and urethra sphincter and thus decreasing the inddenee of urinary incontinence after prostateetomy.

关 键 词：良性前列腺增生症 尿失禁 前列腺切除术 

分 类 号：R697[医药卫生—泌尿科学]