双极等离子前列腺剜除术后暂时性尿失禁处理方法  

Treatment of temporary urinary incontinence after bipolar plasma enucleation of prostate

作　　者：曹朝晖 郭晓辉[1] 卢运田[1] CAO Zhaohui ,GUO Xiaohui ,LU Yuntian(Department of Urology, Shunde Hospital, Guangzhou University of Chinese Medicine, Foshan 528333, Chin)

机构地区：[1]广州中医药大学顺德医院泌尿外科,广东佛山528333

出　　处：《中国医药科学》2018年第15期166-168,175,共4页China Medicine And Pharmacy

摘　　要：目的分析双极等离子前列腺剜除术后暂时性尿失禁处理方法的临床效果。方法选择2015年1月~2017年1月在我院接受双极等离子前列腺剜除术治疗且术后出现暂时性尿失禁的患者46例,随机分成对照组及观察组,每组各23例,对照组采用提肛肌功能训练,观察组联用盆底生物反馈疗法,分析两组患者治疗效果。结果观察组连续尿失禁时间、术后住院时间、术后拔除尿管时间、术后残余尿量均显著少于对照组(P<0.05);观察组及对照组末次随访IPSS及QOL评分均低于治疗前(P<0.05),观察组术前后差异稍大(P>0.05);观察组末次随访尿流动力学Qmax(22.25±7.66)m L/s显著高于对照组的(15.73±6.49)m L/s(P<0.05)。结论前列腺剜除术后暂时性尿失禁采用提肛肌功能训练及盆底生物反馈法较单纯提肛肌功能训练能进一步缩短术后尿失禁时间,改善患者生活质量。Objective To analyze clinical effect of Treatment of temporary urinary incontinence after bipolar plasma enucleation of prostate. Methods Forty-six patients with bipolar plasma enucleation of prostate for the treatment and postoperative temporary urinary incontinence from January 2015 to January 2017 in our hospital were selected, and were randomly divided into the control group and the observation group, with 23 cases in each group. The control group was given the levator ani muscle function training, the observation group was treated combined with pelvic floor biofeedback therapy. The treatment effect of two groups was analyzed. Results The time of continuous incontinence, the time of postoperative hospitalization, the time of removing the urinary catheter after operation and the residual urine after the operation in the observation group were significantly less than those in the control group（P〈0.05）. The scores of IPSS and QOL in the last follow-up of the observation group and the control group were lower than before the treatment（P〈0.05）, and the difference of the observation group before and after the operation was slightly larger than that of the observation group（P〈0.05）.The urinary dynamics Qmax in the last follow-up of（22.25±7.66）m L/s in the observation group was significantly higher than（15.73±6.49）ml/s of the control group（P〈0.05）. Conclusion Temporary temporary urinary incontinence after enucleation of prostate using levator ani muscle function training and pelvic floor biofeedback method than simple levator ani muscle function training can further shorten the postoperative urinary incontinence time and improve the quality of life of patients.

关 键 词：前列腺剜除术 暂时性尿失禁 生物反馈 提肛肌功能 

分 类 号：R699.8[医药卫生—泌尿科学]