Department of Urology, Zhujiang Hospital, Southern Medical University, No. 253, Gongye Avenue, Guangzhou, Guangdong 510282, China.
Biomed Res Int. 2020 Feb 13;2020:8241637. doi: 10.1155/2020/8241637. eCollection 2020.
To assess the value of clinically relevant data for predicting the failure of removal of the urinary catheter within 48 hours after TUERP. . We retrospectively analyzed the medical records of 357 patients who underwent TUERP between January 2015 and July 2018, all of whom stopped bladder irrigation and removed urinary catheter within 48 hours after the operation. According to whether the removal of the catheter was successful, the patients were classified into 2 groups: Group A was successful and group B was a failure. Univariate analysis was performed to determine the association between the failure of removal of the catheter and the patients' preoperative clinical characteristics. Logistic regression analysis and receiver operating characteristic analysis (ROC) were conducted to establish the prediction model. Then the area under the curve (AUC) and the cut-off value were calculated.
357 patients were divided into group A ( = 305, 85.4%) and group B ( = 305, 85.4%) and group B (=0.006), history of acute urinary retention (AUR) (=0.006), history of acute urinary retention (AUR) (=0.006), history of acute urinary retention (AUR) (=0.006), history of acute urinary retention (AUR) (=0.006), history of acute urinary retention (AUR) (=0.006), history of acute urinary retention (AUR) (=0.006), history of acute urinary retention (AUR) (=0.006), history of acute urinary retention (AUR) (=0.006), history of acute urinary retention (AUR) (.
This study demonstrated that IPSS, QoL, drug medication, history of AUR, TPV, and IPP are independent factors associated with the failure of removal of the urethral catheter within 48 hours after TUERP.
评估与临床相关的数据对于预测 TUERP 术后 48 小时内导尿管拔除失败的价值。。我们回顾性分析了 2015 年 1 月至 2018 年 7 月期间 357 例接受 TUERP 的患者的病历资料，所有患者均在术后 48 小时内停止膀胱冲洗并拔除导尿管。根据导尿管拔除是否成功，将患者分为 2 组：A 组为成功组，B 组为失败组。采用单因素分析确定与导尿管拔除失败相关的患者术前临床特征。进行逻辑回归分析和受试者工作特征分析（ROC）以建立预测模型。然后计算曲线下面积（AUC）和截断值。
357 例患者分为 A 组（n=305，85.4%）和 B 组（n=305，85.4%）。B 组的 IPSS、QoL、药物治疗、AUR 史、TPV 和 IPP 均显著高于 A 组（P<0.05）。多因素分析显示，IPSS、QoL、药物治疗、AUR 史、TPV 和 IPP 是 TUERP 术后 48 小时内导尿管拔除失败的独立危险因素（P<0.05）。
本研究表明，IPSS、QoL、药物治疗、AUR 史、TPV 和 IPP 是与 TUERP 术后 48 小时内导尿管拔除失败相关的独立因素。
