摘要
Abstract
Objective:To observe the incidence,variation and significance of pyuria and bacteriuria of different time periods after TURP and provide guidance for clinical antimicrobial therapy.Method:76 cases of BPH patients admitted to our hospital from January 2010 to May 2014 were selected for the study.Patients were treated with TUPR treatment.The incidences of pyuria and bacteriuria after 1 week,1 month,2 months and 3 months were recorded, and the incidences of different times were compared;the patients were divided into pyuria group and the normal group in accordance with the occurrence of pyuria after three months,and the prostatectomy volume of the two groups were compared.Result:The pyuria incidences after 1 week,1month,2 months and 3 months were sequentially 47.4%(36/76),100%(74/74),60.3%(41/68)and 33.8%(23/68);occurrence of bacteriuria of different times were as follows:after 1 week 7.9%(6/76),including 3 cases of E.coli,2 cases of pseudomonas aeruginosa,1 case of E.faecalis;after 1 month bacteriuria rate was 9.4%(7/74),with 3 cases of Enterococcus faecalis,2 cases of E.coli,2 cases of staphylococcus epidermidis;after 2 months bacteriuria rate was 7.4%(5/68),including 3 cases of E.coli,1 case of staphylococcus epidermidis,1 case of oral streptococci;after 3 months bacteriuria was 0.Pyuria and bacteriuria rates at different times were compared.Result:The incidence of bacteriuria at different times was no significant difference (P>0.05),pyuria rate had statistically significant difference(P<0.05).The prostate resection volume of pyuria group was(31.72±9.56)mL and that of the normal group was(23.29±8.16)mL,the differences between the two groups were statistically significant(P<0.05).Conclusion:After TURP,pyuria decreased over time.Simple pyuria is related to inflammatory reaction caused by surgical trauma and is self-healing;simple bacteriuria is asymptomatic bacteriuria or bacterial colonization.The use of antibiotic therapy is not needed in both cases.关键词
经尿道前列腺电切术/TURP/脓尿/菌尿Key words
Transurethral resection/TURP/Pyuria/Bacteriuria
