Oka T, Takano Y, Miyagawa Y, Satoh E, Tei N, Seko M, Tsujimura A, Takaha M
Department of Urology, Osaka National Hospital.
Hinyokika Kiyo. 1998 Jun;44(6):391-6.
A retrospective study was conducted on the duration of pyuria after transurethral resection of the prostate (TURP) and the factors affecting the duration in 273 patients, who were diagnosed as having benign prostatic hyperplasia (BPH) with postoperative resolution of pyuria among those who underwent TURP over the last ten years at our clinic. In the 273 patients, the mean (+/- SD) weight of the resected prostate was 13.2 +/- 10.2 g (range : 1-52 g), the mean operating time was 74.3 +/- 29.8 min (25-215 min), the duration of pyuria was 110.6 +/- 38.3 days (23-273 days), and the resected weight to operating time ratio was 0.172 +/- 0.093 g/min (0.018-0.500 g/min). There was a significant correlation between the duration of pyuria and the patient's age, resected weight, operating time, or resected weight/operating time ratio, resected weight being the most important factor. The surgeon, the postoperative antibiotics used, and the preoperative existence of pyuria did not have any significant effect on the duration of postoperative pyuria. Investigation after stratification by the resected weight in 10 g increments suggested that a shorter operating time was important to reduce the duration of postoperative pyuria, particularly in BPH patients with a resected weight of 20-29 g.
对273例患者经尿道前列腺电切术(TURP)后脓尿持续时间及影响该持续时间的因素进行了一项回顾性研究。这些患者在我们诊所过去十年接受TURP治疗,被诊断为良性前列腺增生(BPH),术后脓尿症状消失。在这273例患者中,切除前列腺的平均(±标准差)重量为13.2±10.2g(范围:1 - 52g),平均手术时间为74.3±29.8分钟(25 - 215分钟),脓尿持续时间为110.6±38.3天(23 - 273天),切除重量与手术时间的比值为0.172±0.093g/分钟(0.018 - 0.500g/分钟)。脓尿持续时间与患者年龄、切除重量、手术时间或切除重量/手术时间比值之间存在显著相关性,其中切除重量是最重要的因素。外科医生、术后使用的抗生素以及术前是否存在脓尿对术后脓尿持续时间均无显著影响。按切除重量以10g为增量进行分层后的调查表明,较短的手术时间对于缩短术后脓尿持续时间很重要,尤其是对于切除重量为20 - 29g的BPH患者。