无症状性前列腺增生对腹股沟疝术后尿潴留的影响

摘要

目的 探讨无症状性前列腺增生对腹股沟疝病人术后尿潴留发生的影响.方法 回顾性分析186例腹股沟疝病人临床资料,观察组106例合并无症状性前列腺增生,对照组80例不合并前列腺增生.结果 观察组尿潴留的发生率为17.9%,显著高于对照组(6.3%).多因素Logistic回归分析显示尿潴留的发生与病人的年龄、麻醉方式、手术时间和疝类型无关,与围手术期是否药物干预有关.围手术期使用药物干预的病人尿潴留的发生率为9.5%,显著低于未使用药物干预的病人(37.5%).结论 无症状性前列腺增生增加了腹股沟疝术后尿潴留的发生率,围手术期使用药物干预是有效的预防手段之一.%Objective To investigate the effect of asymptomatic benign prostatic hyperplasia (BPH) on the postoperative urinary retention in patients with inguinal hernia.Methods The clinical data of 186 patients with inguinal hernia were retrospectively reviewed.The 106 patients in observed group were complicated with asymptomatic BPH,while the 80 patients in control group were not complicated with BPH.Results The incidence of urinary retention in observed group was 17.9%,which was significantly higher than that in control group (6.3%).Multivariate Logistic regression analysis showed that the occurrence of urinary retention wasn′t related with age,anesthesia,operation time and type of hernia.Perioperative drug intervention remained as the significant risk factor.The incidence of urinary retention in patients with perioperative drug intervention was 9.5%,which was significantly lower than that in patients without drug intervention (37.5%).Conclusion The incidence of postoperative urinary retention in patients with inguinal hernia is increased by asymptomatic BPH,and the perioperative drug intervention is an effective means of prevention.