单中心根治性前列腺切除术后尿控恢复的影响因素

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[关键词] 前列腺肿瘤;前列腺切除术;尿失禁;影响因素分析[中图分类号] R737.25;R49 [文献标志码] A [文章编号] 2096-532（2025）02-0181-06doi：10.1712/jms.2096-532.2025.61.064

[Abstract] Objective Toinvestigatetheinfluencingfactorsfortherecoveryofurinarycontinenceafterradicalprostatectomy. Methods Wereviewedtheclinicaldataof215patientsundergoingradicalprostatectomytoanalyzetherateofurinarycontinenceanditsinfluencingfactors. Results At3，6，and12monthafterthesurgery，theurinarycontinenceratesofthe215patientswere 63.72% ， 78.14% ，and 88.84% ，respectively.Acordingtotheunivariableanalyses，thefactorsinfluencingtherecoveryofurinarycontinencewere：body mas index （BMI），diabetes，prostatevolume （PV），andintravesicalprostaticprotrusion length（IP L）at3monthafterthesurgery （χ2=4.482-29.826，P<0.05） ）;age，BMI，diabetes，PV，andIPLat6monthafter thesurgery ⟨χ2=4.903-21.777，P<0.05⟩ ）;andBMI，PV，andIP Lat12 monthafterthesurgery （Υ2=6.040-12.539，P< 0.05）.ThebinaryLogisticregresionanalysisshowedtheindependentinfluencingfactorsfortherecoveryofurinarycontinence were： BMIgtrsim28kg/m2 ，diabetes，and IPPL⩾10mm at3monthafterthesurgery ）;age ⩾65 years， BMIgtrsim28kg/m2 ，diabetes， PV⩾50mL ，and IPPL⩾10mm at6 monthafterthesurgery （β=1.133-2.599，P<0.05） ）;and BMIgtrsim28kg/m2 and IPPL⩾10mm at12monthafterthesurgery （β=1.905，1.689，P<0.01） ）. Conclusion Diabetesnegatively afecttherecoveryofurinarycontinenceat3and6monthafterradicalprostatectomy.Age ⩾65 yearsand PV⩾50mL negatively afecttherecoveryofurinarycontinenceat6monthafterradicalprostatectomy. BMIgtrsim28kg/m2 andIP L ⩾10mm negativelyaffecttherecoveryofurinarycontinenceat12monthafterradicalprostatectomy.

[Keywords] prostaticneoplasms;prostatectomy;urinaryincontinence;rotcauseanalysis

前列腺癌是男性常见的恶性肿瘤，在世界范围内，其发病率位居男性恶性肿瘤第 位，仅次于肺癌[1]。（剩余9803字）