女性压力性尿失禁行经阴道前壁尿道悬吊手术后发生排尿困难的因素分析  

Predictors of voiding dysfunction after midurethral slings for female stress urinary incontinence

作　　者：关星[1] 王菲 覃艳 张地 乔鹏[1] 王飚[1] GUAN Xing;WANG Fei;QIN Yan;ZHANG Di;QIAO Peng;WANG Biao(Department of Urology,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院泌尿外科,北京100020

出　　处：《现代泌尿外科杂志》2022年第9期755-758,767,共5页Journal of Modern Urology

摘　　要：目的分析经阴道前壁吊带悬吊术后发生排尿困难的相关因素。方法回顾性分析2020年1月—2021年12月259例接受尿道中段悬吊带术(MUS)、平均年龄为(57.027±10.069)(32~87)岁的女性患者资料,以是否发生排尿困难为判断终点,对年龄、病程总长、体质量指数(BMI)、顺产数量、症状分级、手术方式、尿流率及残余尿(PVR)与术后排尿困难发生之间的预测关系进行多因素logistic回归分析。结果纳入分析的多种变量中,仅术前最大尿流率降低具有统计学意义(P=0.00384),并发现当术前最大尿流率小于20.5 mL/s时,术后出现排尿困难的风险显著增加。结论术前最大尿流率的降低可有效预测术后排尿困难的发生风险,有效预测将对术后处理起到积极作用。Objective To analyze the predictive factors of voiding dysfunction after midurethral slings(MUS)for female stress urinary incontinence(SUI).Methods A total of 259 female SUI patients undergoing MUS during Jan.2020 and Dec.2021 were retrospectively analyzed.The patients aged from 32 to 87 years,average(57.027±10.069)years.With voiding dysfunction as the judgment end point,the relationship among age,total course of disease,body mass index(BMI),number of spontaneous labor,grade of symptoms,surgical method,urinary flow rate,post-void residual(PVR)and voiding dysfunction was statistically analyzed.Results Multivariate Logistic regression showed only maximum flow rate(Qmax)was statistically significant(P=0.00384),and when the preoperative Qmax was less than 20.5 mL/s,the risk of voiding dysfunction was significantly increased.Conclusion The decrease of preoperative Qmax can effectively predict the risk of postoperative voiding dysfunction and play a positive role in postoperative management.

关 键 词：压力性尿失禁 排尿困难 尿流率 残余尿 预测因素 

分 类 号：R69[医药卫生—泌尿科学]