CAJ | 학술논문

目的探讨影响前列腺增生(BPH)合并膀胱过度活动综合征(OAB)患者行前列腺电切术(TURP)后效果的恢复因素.方法分析我院收治216例BPH合并OAB行经尿道前列腺电切术患者的临床资料,统计患者的年龄、血压、血糖、前列腺体积、残余尿量、平均尿流率、最大尿流率、逼尿肌稳定性、国际前列腺症状评分(I-PSS)、泌尿系感染、尿潴留等资料收集,先对相关数据进行单因素分析,再进行Logistic回归分析.结果单因素分析表明,残余尿量(x2=4.761,P＜0.05)、I-PSS(x2=9.313,P＜0.05)、最大尿流率(x2=4.539,P＜0.05)、逼尿肌稳定性(x2=5.252,P＜0.05)是影响患者预后的重要因素;多因素分析表明,I-PSS[比值比(OR)=1.952,P＜0.05]和逼尿肌稳定性(OR =2.791,P＜0.05)是其独立危险因素.结论 I-PSS及逼尿肌稳定性是影响BPH合并OAB患者TURP术后效果恢复的独立危险因素.
목적 탐토영향전렬선증생(BPH)합병방광과도활동종합정(OAB)환자행전렬선전절술(TURP)후효과적회복인소.방법 분석아원수치216례BPH합병OAB행경뇨도전렬선전절술환자적림상자료,통계환자적년령、혈압、혈당、전렬선체적、잔여뇨량、평균뇨류솔、최대뇨류솔、핍뇨기은정성、국제전렬선증상평분(I-PSS)、비뇨계감염、뇨저류등자료수집,선대상관수거진행단인소분석,재진행Logistic회귀분석.결과 단인소분석표명,잔여뇨량(x2=4.761,P＜0.05)、I-PSS(x2=9.313,P＜0.05)、최대뇨류솔(x2=4.539,P＜0.05)、핍뇨기은정성(x2=5.252,P＜0.05)시영향환자예후적중요인소;다인소분석표명,I-PSS[비치비(OR)=1.952,P＜0.05]화핍뇨기은정성(OR =2.791,P＜0.05)시기독립위험인소.결론 I-PSS급핍뇨기은정성시영향BPH합병OAB환자TURP술후효과회복적독립위험인소.
Objective To study the factors influencing the factors influencing the prognosis in patients with benign prostatic hyperplasia (BPH) and overactive bladder (OAB) subject to the transurethral resection of the prostate (TURP).Methods A total of 216 patients diagnosed with BPH and OAB in our hospital were treated with TURP.Clinical data including age,blood pressure,blood glucose,prostate volume,residual urine volume,average urinary flow rate,maximum urinary flow rate,detrusor instability,international prostate symptom score (I-PSS),urinary infection,urinary retention and other aspects were collected in our study.The related data were used for univariate analysis first.Multivariate analysis was done by the Logistic regression.Results Univariate analysis showed that the following features were associated with the prognosis of patients with TURP:residual urine volume (x2 =4.761,P ＜ 0.05),I-PSS (x2 =9.313,P ＜0.05),maximum urinary flow rate (x2 =4.539,P ＜0.05) and detrusor instability (x2 =5.252,P ＜0.05).Multivariate analysis showed that the following features were independently associated with prognosis of patients subject to TURP:I-PSS and detrusor instability.Conclusion I-PSS [odds ratio (OR) =1.952,P ＜ 0.05] and detrusor instability (OR =2.791,P ＜ 0.05) could be independent predictive factors in the clinical efficacy of TURP in the patients with BPH and OAB.