Analysis of the risk factors of hypercoagulable state after surgery for benign prostatic hyperplasia
10.3969/j.issn.1009-8291.2025.08.008
- VernacularTitle:良性前列腺增生术后高凝状态的危险因素分析
- Author:
Quan WAN
1
;
Cong SHAO
;
Zhe LIU
;
Yongan WEN
;
Lin YANG
Author Information
1. 西安交通大学第一附属医院泌尿外科,陕西西安 710001;西藏民族大学附属医院泌尿外科,陕西咸阳 712000
- Publication Type:Journal Article
- Keywords:
benign prostatic hyperplasia;
hypercoagulable state;
lower urinary tract symptoms
- From:
Journal of Modern Urology
2025;30(8):680-684
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the factors influencing hypercoagulable state in patients with benign prostatic hyperplasia(BPH)after surgery,so as to provide reference for preventing postoperative thrombosis in BPH.Methods A retrospective analysis was conducted on the clinical data of 307 BPH patients who underwent surgery in the Department of Urology at the First Affiliated Hospital of Xi'an Jiaotong University during Apr.2022 and Sep.2023.Patients were divided into the hypercoagulable state group and non-hypercoagulable state group based on the presence of abnormal postoperative coagulation parameters.Single factor and binary logistic regression analysis were used to screen risk factors affecting postoperative blood hypercoagulability in BPH patients.Results Among the 307 BPH patients,45(14.66％)developed a hypercoagulable state postoperatively.Univariate analysis revealed statistically significant differences between the hypercoagulable and non-hypercoagulable groups regarding patients'age,length of hospital stay,body mass index(BMI),history of hypertension,history of diabetes,and blood type(P＜0.05).Binary logistic regression analysis identified BMI(OR=1.135,95％CI:1.006-1.281,P=0.039),history of hypertension(OR=2.342,95％CI:1.103-4.927,P=0.027),and blood type(OR=2.270,95％CI:1.066-4.836,P=0.034)as independent risk factors for postoperative hypercoagulable state.Conclusion Non-O blood type,high BMI,and history of hypertension are independent risk factors for the occurrence of hypercoagulable state following surgery for BPH.
