超声膀胱内前列腺突出度对经尿道大禹刀前列腺剜除术预后及并发症相关因素的研究  被引量:2

Investigation of the relationships of the IPP degree in ultrasound imaging on the prognosis and complication of patients after transurethral Dayu knife prostatectomy

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作  者:杨振兴[1] 吴畏[1] 席俊华[1] 张艳斌[1] YANG Zhen-xing;WU Wei;XI Jun-hua(Department of Urology,The Second People's Hospital of Hefei,Hefei 230001,China;不详)

机构地区:[1]合肥市第二人民医院泌尿外科,安徽合肥230001

出  处:《中国医学装备》2023年第4期95-99,共5页China Medical Equipment

基  金:安徽省卫生健康委2020年度应用医学研究项目(Hwk2020zd0011)“男性盆腔3D数字化重建及其在前列腺疾病手术中的应用研究”。

摘  要:目的:探讨超声膀胱内前列腺突出度(IPP)对经尿道大禹刀前列腺剜除术的疗效及术后并发症的相关因素。方法:选取医院确诊的40例前列腺增生患者,根据术前超声IPP程度的不同将其分为显著组和对照组,每组20例。对比两组术后尿动力参数最大尿流率(Q_(max))、残余尿量(PVR)、国际前列腺症状评分(IPSS)、手术疗效以及术后并发症,分析超声膀胱内IPP与术后疗效及并发症的相关性。结果:显著组和对照组术后Q_(max)值均较术前有所升高,差异有统计学意义(t=7.882,t=6.755;P<0.05),而PVR值较术前有所降低,差异有统计学意义(t=5.846,t=7.507;P<0.05);但显著组与对照组Q_(max)值差异无统计学意义;显著组PVR值降低速度低于对照组,组间差异具有统计学意义(t=2.472,P<0.05);显著组与对照组术后IPSS有所降低,与术前相比差异具有统计学意义(t=10.455,t=9.304;P<0.05),但术后IPSS评分差异无统计学意义;显著组手术后显效15例(占75.0%),对照组显效17例(占85.0%),显著组显效率低于对照组,但差异无统计学意义;超声IPP与IPSS评分和PVR呈正相关(r=0.387,r=0.1987;P<0.05),与Q_(max)和疗效呈负相关性(r=-0.358,r=-0.249;P<0.05);IPP与尿路并发症的受试者工作特征(ROC)曲线下面积(AUC)为0.721,急性尿潴留AUC为0.620,肉眼血尿AUC为0.635,肾功能损害AUC为0.612,肾积水AUC为0.610,膀胱结石AUC为0.670。结论:经尿道大禹刀前列腺剜除术后并发症的发生随IPP的增加而增加,IPP可作为评估经尿道大禹刀前列腺剜除术的疗效和并发症预测的相关因素。Objective:To investigate the relationships of the degree of intravesical prostate protrusion(IPP)in ultrasound imaging on the prognosis and complication of patients after transurethral Dayu knife prostatectomy.Methods:A total of 40 patients with prostatic hyperplasia who were diagnosed in hospital were selected and they were divided into significant group and control group according to the different IPP degree of preoperative ultrasound,with 20 cases in each group.The relationships of the IPP intra bladder of ultrasound imaging and the postoperative efficacy and complication was respectively analyzed through compared the postoperative urodynamic parameters included _(max)imum urine rate(Q_(max)),residual urine volume,international prostate symptom score(IPSS),surgical efficacy and postoperative complication.Results:The Q_(max) values of significant group and control group after operation were significantly higher than those before operation(t=7.882,t=6.755,P<0.05),while the PVR value after operation was significantly lower than that before operation(t=5.846,t=7.507,P<0.05),respectively.There was not significant difference in Q_(max) between significant group and control group,while the decreased velocity of PVR value of significant group was significantly lower than that of control group and the difference of that between two groups was significant(t=2.472,P<0.05).The IPSS scores both the significant group and the control group after operation were significantly lower than those before operation(t=10.455,t=9.304,P<0.05),respectively,while the postoperative IPSS score between two groups was not significant.There were 15 cases(75.0%)were efficacy in the significant group and 17 cases(85.0%)were efficacy in the control group,the efficacy rate of significant group was lower than that of control group,while the difference of that between two groups was not significant.The ultrasound IPP was significantly positive correlation with IPSS score and PVR(r=0.387,r=0.1987,P<0.05),and it was significantly negative correlation

关 键 词:前列腺剜除术 超声膀胱内前列腺突出度(IPP) 预后 并发症 大禹刀 

分 类 号:R445.1[医药卫生—影像医学与核医学] R697.3[医药卫生—诊断学]

 

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