前列腺增生急性尿潴留TWOC失败的因素分析  

Predictive factors of trial without catheter failure in acute urinary retention secondary to benign prostatic hyperplasia

作　　者：刘全达 曾怡 李小滨[1] LIU Quan-da;ZENG Yi;LI Xiao-bin(Department of Urology,First People s Hospital of Zigong,Zigong 643000,China)

机构地区：[1]自贡市第一人民医院泌尿外科,四川自贡643000

出　　处：《现代泌尿外科杂志》2020年第4期326-329,共4页Journal of Modern Urology

摘　　要：目的分析前列腺增生引起的急性尿潴留患者进行留置导尿后再予以试行拔除尿管(TWOC)后患者再次发生尿潴留的危险因素。方法回顾性分析2017年4月至2019年4月在自贡市第一人民医院治疗的前列腺增生并发第一次急性尿潴留的65例患者的临床资料,65例患者既往均接受了在留置尿管后口服0.4mg/d盐酸坦索罗辛并在第3天进行试行拔管的处理,拔管后患者再次出现尿潴留视为TWOC失败,单因素及多因素Logistic回归分析患者年龄、前列腺体积、膀胱内前列腺突出度(IPP)、国际前列腺症状评分(IPSS)等相关参数与TWOC失败的相关性。结果 TWOC成功组23例(35.4%),TWOC失败组42例(64.6%),单因素分析结果显示TWOC成功组与失败组比较前列腺体积(P=0.030)、IPSS(P<0.001)、IPP(P=0.002)存在明显统计学差异。多因素Logistic回归分析得出患者IPSS(OR=2.462,95%CI:1.216~4.985,P=0.012),IPP(OR=2.606,95%CI:1.224~5.545,P=0.013)是TWOC失败的独立危险因素。结论患者IPP、IPSS评分是预测TWOC失败的重要指标。Objective To explore the predictive factors of trial without catheter(TWOC)failure in acute urinary retention(AUR)secondary to benign prostatic hyperplasia(BPH).Methods The clinical data of 65 patients with first episode of AUR secondary to BPH during Apr.2017 and Apr.2019 were retrospectively analyzed.All patients were given 0.4 mg tamsulosin daily for 3 days and TWOC was performed.Those with urinary retention were included into the failure group,and those without were included into the success group.The correlation between patients\age,prostate volume,intravesical prostatic protrusion(IPP),international prostate symptom score(IPSS)and TWOC failure was analyzed with univariate and multivariate logistic regression models.Results There were 23(35.4%)patients in the success group and 42(64.6%)in the failure group.Univariate analyses showed significant differences in prostate volume(P=0.030),IPSS(P<0.001)and IPP(P=0.002)between the two groups.Multivariate analyses showed that IPSS(OR=2.462,95%CI:1.216-4.985,P=0.012)and IPP(OR=2.606,95%CI:1.224-5.545,P=0.013)were risk factors of TWOC failure.Conclusion IPP and IPSS are important indicators of TWOC failure.

关 键 词：前列腺增生 急性尿潴留 试行拔除尿管 拔管失败 危险因素 

分 类 号：R697[医药卫生—泌尿科学]