【摘要】 目的:探讨良性前列腺增生(BPH)经尿道前列腺切除术(TURP)术后尿管拔除前膀胱灌注利多卡因的临床意义。方法:2012年1月至2014年12月,采用TURP治疗BPH患者120例,分为灌注组(尿管拔除前膀胱灌注利多卡因20ml+生理盐水100 ml)和对照组(单纯尿管拔除)各60例,两组患者术前IPSS评分[(24.3±3.4)与(24.2±3.5)分]、前列腺质量[(65.8±18.6)与(67.7±16.2)g]、Qmax[(4.2±2.8)与(4.4±2.5)ml/s]及年龄[(65.4±9.7)与(66.8±10.2)岁]比较差异无统计学意义(P﹥0.05)。观察比较两组首次排尿等待时间、不同时段尿液白细胞计数及恢复至基本正常排尿时间。结果:两组患者拔管后首次排尿均通畅,对照组首次排尿等待时间(28.5±7.6)min,明显长于灌注组(2.8±1.5)min,差异有统计学意义(P﹤0.05)。灌注组患者首次及次日晨起第一次中段尿液白细胞计数(5.5±0.2)、(4.3±0.4)/HP,明显低于对照组(7.8±2.6)、(5.3±1.4)/HP,差异有统计学意义(P﹤0.05)。灌注组细菌培养阳性率(10%,6/60;6.7%,4/60)与对照组(11.7%,7/60;8.3%,5/60)比较差异无统计学意义(P﹥0.05)。对照组患者恢复至正常排尿时间(12.6±3.5)d,明显长于灌注组(7.9±2.8)d,差异有统计学意义(P﹤0.05)。结论:TURP术后尿管拔除前膀胱灌注利多卡因,可早期评估术后疗效,同时可缩短正常排尿恢复时间。更多还原

【Abstract】 Objective: To evaluate the clinical significance of bladder saline perfusion before catheter removal in TURP patients. Methods: From 2012 to 2014, 120 patients received TURP were enrolled in this study.Patients were divided into perfusion group( 60 cases with bladder lidocaine perfusion before catheter removal) and control group( 60 cases without perfusion). Results: Comparing with the control group(28.5±7.6) min,the time waiting for urination was shorter in perfusion group(2.8±1.5) min(P<0.05).The recovering time to normal urination was shorter in perfusion group(7.9±2.8) d than in control group(12.6±3.5) d(P<0.05) as well.In the first urine after catheter removal and first on the next day morning,white blood cell count of 2 groups(5.5±0.2) vs(7.8±2.6);(4.3±0.4) vs(5.3±1.4) had differences(P<0.05). Conclusion:Bladder saline perfusion before catheter removal in TURP patients is simple and effective for the restoration of normal voiding.更多还原