YIN Wenli, WANG Juan, LI Yonglu, LI Shuanghui, GAO Feng, LI Shuangbiao. Clinical study of modified urethral enucleation combined with cystostomy in the treatment of elderly prostatic hyperplasia patients[J]. Journal of Clinical Medicine in Practice, 2021, 25(16): 99-102. DOI: 10.7619/jcmp.20211909
Citation: YIN Wenli, WANG Juan, LI Yonglu, LI Shuanghui, GAO Feng, LI Shuangbiao. Clinical study of modified urethral enucleation combined with cystostomy in the treatment of elderly prostatic hyperplasia patients[J]. Journal of Clinical Medicine in Practice, 2021, 25(16): 99-102. DOI: 10.7619/jcmp.20211909

Clinical study of modified urethral enucleation combined with cystostomy in the treatment of elderly prostatic hyperplasia patients

More Information
  • Received Date: May 07, 2021
  • Available Online: August 22, 2021
  • Published Date: August 27, 2021
  •   Objective   To observe the clinical effect of modified urethral enucleation (M-PKEP) combined with cystostomy in the treatment of elderly prostatic hyperplasia (BPH) patients.
      Methods   A total of 119 patients diagnosed as BPH and given treatment were selected as study subjects, and were randomly divided into observation group (n=60, M-PKEP combined with cystostomy) and the control group (n=59, M-PKEP). The treatment effects, quality of life, international prostate symptom score (IPSS) and occurrence of complications between the two groups were compared, and influencing factors for improvement of symptoms in postoperative urine storage period were analyzed.
      Results   After treatment, the maximum urinary flow rate (Qmax) was significantly increased, and the residual urine volume (RUV) and IPSS storage score(IPSS-S) were significantly decreased in the two groups, and the improvement degree was more obvious in the observation group (P < 0.05). There was no difference in incidence of complications between the two groups (P>0.05). Age (≥80 years), detrusor contractibility (≥40 cmH2O), residual urine volume (≥100 mL), nocturia frequency (≥2 times) were all independent risk factors affecting the IPSS-S of patients.
      Conclusion   M-PKEP combined with cystostomy in the treatment of elderly BPH patients has a good curative effect. It is suggested that timely intervention on detrusor contractility, RUV and nocturia frequency after surgery can improve theirquality of life.
  • [1]
    王春晖, 平秦榕, 王英宝, 等. PKRP和PKEP治疗良性前列腺增生的对照研究[J]. 重庆医学, 2018, 47(32): 4160-4163. doi: 10.3969/j.issn.1671-8348.2018.32.020
    [2]
    林阳彦, 邱春明, 杨勇, 等. 保留前叶经尿道前列腺剜除术治疗前列腺增生的5年疗效分析[J]. 实用医学杂志, 2020, 36(24): 3394-3398. doi: 10.3969/j.issn.1006-5725.2020.24.018
    [3]
    谢铁军, 任明华, 郭鹏宇. 半导体激光剜除术与等离子剜除术治疗良性前列腺增生有效性和安全性的Meta分析[J]. 哈尔滨医科大学学报, 2020, 54(4): 450-455. https://www.cnki.com.cn/Article/CJFDTOTAL-HYDX202004027.htm
    [4]
    陈晓君, 陈婧, 叶木石, 等. 三种术式治疗高龄高危前列腺增生症的疗效比较[J]. 实用医学杂志, 2019, 35(23): 3618-3623. doi: 10.3969/j.issn.1006-5725.2019.23.009
    [5]
    王刚, 姚丽霞, 杨涛, 等. 三种不同腔内技术治疗重度前列腺增生的比较研究[J]. 临床泌尿外科杂志, 2019, 34(6): 478-482. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMW201906017.htm
    [6]
    肖海涛, 罗明俊. 经尿道双极等离子前列腺剜除术治疗良性前列腺增生伴膀胱结石的效果及其对患者性功能的影响[J]. 现代医学, 2019, 47(5): 502-507. https://www.cnki.com.cn/Article/CJFDTOTAL-TDYX201905003.htm
    [7]
    蔡大伟, 孔广起. 等离子前列腺剜除联合经膀胱前列腺旋切治疗大体积前列腺增生[J]. 中国微创外科杂志, 2018, 18(5): 419-421. doi: 10.3969/j.issn.1009-6604.2018.05.010
    [8]
    张少杰, 徐晓峰, 杜泉, 等. 经尿道前列腺等离子双极电切术对良性前列腺增生患者尿动力学及血清前列腺特异抗原、表皮生长因子、前列腺素E2水平的影响[J]. 实用临床医药杂志, 2019, 23(18): 85-89. doi: 10.7619/jcmp.201918023
    [9]
    陈厚传, 杨正荣. 经尿道双极等离子前列腺剜除术联合膀胱切开取石治疗高龄大体积良性前列腺增生合并膀胱结石的临床疗效[J]. 国际泌尿系统杂志, 2021, 41(1): 19-23. doi: 10.3760/cma.j.cn431460-20190819-00006
    [10]
    娄彦亭, 顾燕青, 周业娟, 等. 经尿道前列腺等离子电切和剜除术的疗效及学习曲线分析[J]. 中国男科学杂志, 2018, 32(4): 35-39. doi: 10.3969/j.issn.1008-0848.2018.04.08
    [11]
    MAHMOUD A M, AHMED O M, ASHOUR M B, et al. In vivo and in vitro antidiabetic effects of Citrus flavonoids; a study on the mechanism of action[J]. Int J Diabetes Dev Countr, 2015, 35(3): 250-263. doi: 10.1007/s13410-014-0268-x
    [12]
    XU C, ZHANG G, WANG J J, et al. Safety and efficacy of prostatic artery embolization for large benign prostatic hyperplasia in elderly patients[J]. J Int Med Res, 2021, 49(1): 300060520986284. http://www.researchgate.net/publication/348809285_Safety_and_efficacy_of_prostatic_artery_embolization_for_large_benign_prostatic_hyperplasia_in_elderly_patients
    [13]
    KADIHASANOGLU M, AYDIN M, TASKIRAN M, et al. The Effect of Intravesical Prostatic Protrusion in Patients with Benign Prostatic Hyperplasia: Controlled, Clinical Study[J]. Urol Int, 2019, 103(2): 180-186. doi: 10.1159/000499437
    [14]
    CALOGERO A E, BURGIO G, CONDORELLI R A, et al. Epidemiology and risk factors of lower urinary tract symptoms/benign prostatic hyperplasia and erectile dysfunction[J]. Aging Male, 2019, 22(1): 12-19. doi: 10.1080/13685538.2018.1434772
    [15]
    YEH H F, LI T F, TSAI C H, et al. The effects of a Chinese herbal medicine (VGHBPH0) on patients with benign prostatic hyperplasia: a pilot study[J]. J Chin Med Assoc, 2020, 83(10): 967-971. doi: 10.1097/JCMA.0000000000000384
  • Related Articles

    [1]YIN Ying, GAO Yan, YANG Xiaoxin, MA Wenjing, WANG Wei. Application of family-involved nursing model under concept of rapid recovery in perioperative nursing for patients with pulmonary nodules[J]. Journal of Clinical Medicine in Practice, 2024, 28(11): 129-133. DOI: 10.7619/jcmp.20240679
    [2]LU Yanfeng, DAI Jiabao, WU Zhouquan, ZOU Zhiqing. Effect of esketamine on perioperative pain and depression in patients with thoracoscopic pulmonary nodule resection[J]. Journal of Clinical Medicine in Practice, 2024, 28(9): 90-94. DOI: 10.7619/jcmp.20234042
    [3]GAO Yan, WANG Wei, YANG Xiaoxin, DING Jiefang, YIN Ying. Precision nursing for patients with visualization technology assisted pulmonary nodule surgery[J]. Journal of Clinical Medicine in Practice, 2023, 27(24): 97-100, 106. DOI: 10.7619/jcmp.20233596
    [4]LIN Weiyong, WENG Wenjun. Identification characteristic of benign and malignant pulmonary nodules and differential diagnostic indicators of the infiltration degree of malignant ground-glass nodules[J]. Journal of Clinical Medicine in Practice, 2023, 27(24): 14-19. DOI: 10.7619/jcmp.20232071
    [5]WEI Xinqi, RUAN Aichao, YANG Ying, ZHANG Qing. Clinical nursing pathway management in patients with CT-guided thoracoscopic small pulmonary nodules resection[J]. Journal of Clinical Medicine in Practice, 2022, 26(18): 120-123. DOI: 10.7619/jcmp.20221144
    [6]LI Juanjuan, LIU Min, YANG Bin, DU Wei, YANG Hongkai, LIAO Yanquan, LI Junhang, WANG Jun. Application of artificial intelligence-assisted pulmonary nodule screening and qualitative diagnosis[J]. Journal of Clinical Medicine in Practice, 2022, 26(8): 8-12. DOI: 10.7619/jcmp.20214698
    [7]CAO Lan, TAO Yujian, ZHAO Yuanlu, ZHANG Pan. Analysis in risk factors of solitary pulmonary nodules[J]. Journal of Clinical Medicine in Practice, 2021, 25(1): 38-40, 44. DOI: 10.7619/jcmp.20200457
    [8]LIU Desen, CHEN Xiaochun, ZHU Feng, LIU Yongjie, CHEN Ming, LIU Feng, MA Haitao. Clinical analysis in chest CT and pathology of solitary pulmonary nodules[J]. Journal of Clinical Medicine in Practice, 2018, (7): 96-98. DOI: 10.7619/jcmp.201807026
    [9]ZHONG Chonghao, SHI Hongcan, SHU Yusheng, SHI Weiping, LU Shichun, SUN Chao. Establishment and clinical verification of a mathematical model foRpredicting the probability of malignancy oRbegin in patients with solitary pulmonary nodules[J]. Journal of Clinical Medicine in Practice, 2017, (9): 82-85,93. DOI: 10.7619/jcmp.201709021
    [10]XI Xiaoxiang, LYU Bihong, YE Ting, HE Guangming, CHEN Rui, XU Xiang, WANG Baoguan. Value of serum NSE, Cyfra21-1, CEA and CA125 in diagnosis of solitary pulmonary nodules[J]. Journal of Clinical Medicine in Practice, 2015, (21): 41-43,51. DOI: 10.7619/jcmp.201521011
  • Cited by

    Periodical cited type(23)

    1. 魏淑敏,陈岩,刘俊婷. 序贯肠内外营养支持辅助治疗急性脑卒中伴吞咽障碍临床观察. 社区医学杂志. 2024(02): 56-59 .
    2. 王子雪. 两种营养护理方案在重症脑梗死患者中的应用. 中国城乡企业卫生. 2024(03): 102-105 .
    3. 谢柏发,邓静,余刚. 早期肠内营养支持疗法在重症脑出血临床治疗中的效果及有效性分析. 基层医学论坛. 2024(10): 76-78+91 .
    4. 吴苑云,范子英,卓月凤. 重症脑出血患者围术期营养支持的现状及研究进展. 现代医学与健康研究电子杂志. 2024(06): 128-131 .
    5. 黄霞,张莉,狄红珍,冯小丹,朱梅. 早期序贯康复护理联合童趣化互动干预对外伤性颅内出血患儿的影响. 护理实践与研究. 2024(06): 821-827 .
    6. 张明,刘逸文,文章. 早期肠内营养乳剂支持疗法治疗重症脑出血患者的临床研究. 广东药科大学学报. 2024(05): 127-131 .
    7. 戴颖,龚丽. 重症脑出血患者应用ADOPT模式护理联合5A护理的效果. 医药前沿. 2024(15): 114-116 .
    8. 郑蕾. 序贯式肠内营养支持对重症脑出血患者营养状况及胃肠道喂养不耐受的影响. 内蒙古医学杂志. 2023(02): 247-249 .
    9. 黄玉琪,刘颖,石改红. ERAS理念指导的护理干预对前列腺增生患者术后康复的影响. 国际医药卫生导报. 2023(07): 1015-1020 .
    10. 任丽敏. 营养支持联合早期运动整合干预对重症脑出血患者早期预后的影响. 中国实用乡村医生杂志. 2023(03): 59-63 .
    11. 周琴,吴晓芳,王敏. 早期微生态肠内营养介入与管理在老年神经外科重症机械通气患者中的应用价值分析. 当代护士(中旬刊). 2023(05): 113-117 .
    12. 刘艳红,葛利越,杨静,蒋大丽. 基于快速康复外科理念的分阶段护理干预联合序贯性EEN与康复锻炼对胃癌患者预后的影响. 海军医学杂志. 2023(06): 646-648 .
    13. 李纲. 肠内营养序贯治疗对重症急性脑梗死合并吞咽功能障碍患者营养状态不良反应及并发症的影响. 中国药物与临床. 2022(02): 163-165 .
    14. 赵轶梁. 早期肠内外营养联合支持在重症脑卒中患者中的应用效果观察. 实用中西医结合临床. 2022(01): 70-71+78 .
    15. 崔益明,金守兵,陈彩霞. 早期肠内营养支持疗法在重症脑出血临床治疗中的效果. 吉林医学. 2022(04): 1044-1045 .
    16. 贾亚杰,姚明. 肠内营养支持与肠外营养支持序贯治疗危重患者的临床价值. 中国医药科学. 2022(11): 187-189+196 .
    17. 黄涵. 序贯性肠内营养在重症脑出血患者治疗中的应用效果分析. 中国社区医师. 2021(01): 20-21 .
    18. 王德荣. 围手术期序贯性肠内营养在肝段切除患者中的应用及护理. 中外医学研究. 2021(15): 179-181 .
    19. 王英华. 肠内营养支持结合个性化营养护理对原发性脑出血患者病情康复效果的影响. 中外医疗. 2021(21): 164-167+171 .
    20. 汪海滔,陈伟鹏,邓惠森. 序贯性肠内营养在重症脑出血患者治疗中的应用效果分析. 吉林医学. 2021(10): 2476-2477 .
    21. 杜欢,钱坤,姚淑芳. 序贯性早期肠内营养在重症脑出血患者中的应用效果. 中国民康医学. 2021(20): 39-41 .
    22. 庞春. 术后早期应用肠内营养治疗重症脑出血患者术后腹泻的效果. 中国医药指南. 2020(31): 70-71 .
    23. 冯二艳,罗书引,潘幸尧,郑红艳,丁宗励. 肠内序贯营养支持联合益生菌对重型颅脑损伤患者营养状况及胃肠功能障碍的改善作用研究. 解放军预防医学杂志. 2020(09): 127-130 .

    Other cited types(0)

Catalog

    Article views (330) PDF downloads (7) Cited by(23)

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return