前列腺等离子电切术对合并2型糖尿病良性前列腺增生患者术后尿动力学参数的影响探讨  

Effect of plasma kinetic resection of prostate on postoperative urodynamic parameters in patients with benign prostatic hyperplasia complicated with type 2 diabetes mellitus

作　　者：李俊杰 黄俊波 LI Jun-jie;HUANG Jun-bo(Jiexi County People's Hospital,Jieyang 515400,China)

机构地区：[1]揭西县人民医院,515400

出　　处：《中国现代药物应用》2024年第22期64-66,共3页Chinese Journal of Modern Drug Application

摘　　要：目的 探讨前列腺等离子电切术对合并2型糖尿病良性前列腺增生患者术后尿动力学参数的影响。方法 选择100例良性前列腺增生患者,将其中50例合并2型糖尿病患者作为观察组,其余50例未合并2型糖尿病患者作为对照组。两组患者均实施前列腺等离子电切术治疗。比较两组患者手术情况(术中出血量、手术时间、尿管留置时间)及尿动力学参数(最大尿流率、残余尿量、膀胱顺应性)。结果 两组术中出血量、手术时间及尿管留置时间比较,差异无统计学意义(P>0.05)。术后,观察组最大尿流率(13.2±1.27)ml/s及膀胱顺应性(30.24±3.98)ml/cm H_(2)O(1 cm H_(2)O=0.098 kPa)均低于对照组的(17.9±1.43)、(37.67±4.01)ml/cm H_(2)O,残余尿量(24.6±11.4)ml多于对照组的(15.8±10.1)ml,差异有统计学意义(P<0.05)。结论 前列腺等离子电切术能够显著改善合并2型糖尿病良性前列腺增生患者的术后尿动力学参数,且改善效果与未合并2型糖尿病良性前列腺增生患者存在差异。Objective To explore the effect of plasma kinetic resection of prostate on postoperative urodynamic parameters in patients with benign prostatic hyperplasia complicated with type 2 diabetes mellitus.Methods 100 patients with benign prostatic hyperplasia were selected,in which 50 patients with type 2 diabetes mellitus were selected as the observation group and the other 50 patients without type 2 diabetes mellitus were selected as the control group.Both groups were treated with plasma kinetic resection of prostate.The surgical status(intraoperative blood loss,operation time,catheter indwelling time) and urodynamic parameters(maximum urinary flow rate,residual urine volume and bladder compliance) were compared between the two groups.Results There was no significant difference in intraoperative blood loss,operation time,catheter indwelling time between the two groups(P>0.05).After operation,the maximum urinary flow rate of the observation group was(13.2±1.27) ml/s and the bladder compliance was(30.24±3.98) ml/cm H_2O(1 cm H_2O=0.098 kPa),which were lower than(17.9±1.43)and(37.67±4.01) ml/cm H_(2O) in the control group;the residual urine volume of the observation group was(24.6±11.4) ml,which was higher than(15.8±10.1) ml of the control group;the difference was statistically significant(P<0.05).Conclusion Plasma kinetic resection of prostate can significantly improve postoperative urodynamic parameters in patients with benign prostatic hyperplasia complicated with type 2 diabetes mellitus,but the improvement effect is different from that in patients without type 2 diabetes mellitus.

关 键 词：前列腺增生 2型糖尿病 前列腺等离子电切术 尿动力学参数 手术效果 

分 类 号：R699.8[医药卫生—泌尿科学] R587.1[医药卫生—外科学]