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首页> 美国卫生研究院文献>Asian Journal of Andrology >Suprapubic cystostomy versus nonsuprapubic cystostomy during monopolar transurethral resection of prostate: a propensity score-matched analysis
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Suprapubic cystostomy versus nonsuprapubic cystostomy during monopolar transurethral resection of prostate: a propensity score-matched analysis

机译：单极经尿道前列腺电切术时耻骨上膀胱造口术与非耻骨上膀胱造瘘术的倾向得分匹配分析

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We aim to reassess the safety of the monopolar transurethral resection of the prostate (M-TURP) without suprapubic cystostomy at our institution over the past decade. This retrospective study was conducted in patients who underwent M-TURP at Peking University First Hospital between 2003 and 2013. A total of 1680 patients who had undergone M-TURP were identified, including 539 patients in the noncystostomy group and 1141 patients in the cystostomy group. After propensity score matching, the number of patients in each group was 456. Smaller reductions in hemoglobin and hematocrit (10.9 g vs 17.6 g and 3.6% vs 4.7%, respectively) were found in the noncystostomy group. In addition, patients undergoing surgery without cystostomy had their catheters removed earlier (4.6 days vs 5.2 days), required shorter postoperative stays in the hospital (5.1 days vs 6.0 days), and were at lower risk of operative complications (5.7% vs 9.2%), especially bleeding requiring blood transfusion (2.9% vs 6.1%). Similar findings were observed in cohorts of prostates of 30–80 ml and prostates >80 ml. Furthermore, among patients with a resection weight >42.5 g or surgical time >90 min, or even propensity-matched patients based on surgical time, those with cystostomy seemed to be at a higher risk of operative complications. These results suggest that M-TURP without suprapubic cystostomy is a safe and effective method, even among patients with larger prostates, heavier estimated resection weights, and longer surgical times.
机译：我们的目标是在过去的十年中重新评估不进行耻骨上膀胱造瘘术的单极经尿道前列腺电切术（M-TURP）的安全性。这项回顾性研究是对2003年至2013年在北京大学第一医院接受M-TURP的患者进行的。共鉴定出1680例接受M-TURP的患者，其中非膀胱造口术组539例，膀胱造瘘术组1141例。 。倾向得分匹配后，每组患者为456名。在非膀胱造口术组中，血红蛋白和血细胞比容的降低幅度较小（分别为10.9 g vs. 17.6 g和3.6％vs 4.7％）。此外，接受无膀胱造口术手术的患者更早取出了导管（4.6天比5.2天），术后住院时间更短（5.1天比6.0天），并且手术并发症的风险更低（5.7％比9.2％） ），尤其是需要输血的出血（2.9％比6.1％）。在30–80 ml的前列腺和> 80 ml的前列腺中也观察到类似的结果。此外，在切除重量> 42.5 g或手术时间> 90 min的患者中，甚至根据手术时间而定的倾向匹配患者中，膀胱造口术的患者似乎有更高的手术并发症风险。这些结果表明，即使在前列腺较大，估计切除重量较重且手术时间较长的患者中，没有耻骨上膀胱造瘘术的M-TURP是一种安全有效的方法。

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