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目的分析良性前列腺增生(BPH)患者行经尿道前列腺电切术(TURP)术后不同时间脓尿、菌尿的发生率和变化规律,为指导微生物检测及抗菌药物应用提供依据。方法采用回顾性的临床研究方法,分析86例良性前列腺增生患者行TURP后不同时段脓尿及菌尿率,对患者的相关资料进行比较分析。结果 86例TURP患者术后1周、1月、2月、3月脓尿率比较差异有统计学意义(P<0.05),而菌尿率比较差异无统计学意义(P>0.05),菌种包括大肠埃希菌、粪肠球菌及葡萄球菌。术后3个月,有脓尿患者和无脓尿患者前列腺体积和前列腺重量差异均有统计学意义(P<0.05)。结论良性前列腺增生患者行TURP后均会出现脓尿,且随时间推移逐渐减轻症状,前期及时监测,应用抗生素有重要意义。
Objective To analyze the incidence and variation of pyuria and bacteriuria in patients with benign prostatic hyperplasia (BPH) after transurethral resection of prostate (TURP), and to provide basis for the detection of microbiological tests and the application of antibacterial drugs. Methods A retrospective clinical study was conducted to analyze the incidence of pyuria and bacteriuria in 86 benign prostatic hyperplasia patients at different periods after TURP. The relative data of the patients were analyzed. Results There were significant differences in pyuria rates in 86 cases of TURP patients at 1 week, 1 month, 2 months and 3 months after operation (P <0.05), but no significant difference in bacteriuria rates (P> 0.05) Including Escherichia coli, Enterococcus faecalis and Staphylococcus aureus. At 3 months after operation, there were significant differences in prostate volume and prostate weight between patients with and without pyuria (P <0.05). Conclusions Patients with benign prostatic hyperplasia may develop pyuria after TURP, and gradually relieve the symptoms over time. It is of great significance to monitor the use of antibiotics in time.