教育医院泌尿科住院医师经尿道前列腺切除术的短期并发症:特点和决定因素

B. Daryanto, Taufiq Nur Budaya, Johanes Dwi Meiyanto
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摘要

研究目的本研究旨在了解教育医院泌尿科住院医师实施 TURP 手术的短期并发症的特征和决定因素。材料与方法:本研究是一项分析性研究,使用2015年1月至2022年6月期间由泌尿科住院医师实施TURP的502例良性前列腺增生患者电子病历中的二手数据,评估短期并发症、Clavien Dindo和泌尿科住院医师水平。纳入标准为接受泌尿科住院医师TURP手术的良性前列腺增生患者,排除标准为患者人口统计学数据和临床数据记录不完整。结果以分布表的形式进行描述,并使用 STATA 17 进行逻辑回归分析。结果10例患者(1.99%)出现了TURP短期并发症,即出血(0.79%)、血块滞留(0.6%)和尿潴留(0.6%)。最常见的组别是年龄在 61-70 岁(0.79%)、Clavien Dindo I(0.79%)、泌尿科住院医师级别为第五学期(0.99%)、前列腺体积大于 50cc (0.99%)和主诉尿潴留(0.99%)。与并发症发生率相比,患者年龄、泌尿科住院医师级别、前列腺体积和主诉之间无明显相关性(P>0.25)。结论:尽管不同级别的泌尿科住院医师在手术中会出现一些短期并发症,但TURP仍是治疗良性前列腺增生症的首选手术,而且泌尿科住院医师级别与并发症发生率之间无明显相关性。关键词良性前列腺增生、泌尿科住院医师、TURP短期并发症、Clavien Dindo。
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SHORT-TERM COMPLICATIONS OF TRANSURETHRAL RESECTION OF THE PROSTATE PERFORMED BY UROLOGY RESIDENT IN EDUCATIONAL HOSPITAL: CHARACTERISTICS AND DETERMINANT FACTORS
Objective: This research wanted to figure out the characteristics and determinant factors of short-term complications of TURP performed by urology resident in educational hospital. Material & Methods: This study was an analytical study using secondary data from electronic medical records of the total sample of 502 BPH patients undergoing TURP performed by urology resident January from 2015 until June 2022, and evaluated short-term complications, Clavien Dindo, and level of urology resident. Inclusion were BPH patients undergoing TURP by urology resident, while the criteria of exclusion were incomplete data of patient’s demographic and records of clinical data. Results were displayed descriptively in distribution tables and analyzed using logistic regression with STATA 17. Results: Short-term complications of TURP were found in 10 patients (1.99%), i.e., bleeding (0.79%), clot retention (0.6%), and urinary retention (0.6%). The commonest groups were age at 61-70 (0.79%), Clavien Dindo I (0.79%), urology resident level at 5th semester (0.99%), prostate volume >50cc (0.99%) and complaint of urinary retention (0.99%). There were no significant correlations between patient age, level of urology resident, prostate volume, and chief complaint compared to rate of complication (p>0.25). Conclusion: TURP remained surgery of choice for BPH despite several short-term complications performed by different level of urology resident and there were no significant correlations between level of urology resident and rate of complication. Keywords: BPH, Urology Resident, Short-Term Complications of TURP, Clavien Dindo.
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