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压力-流率测定与BPH术后症状改善的关系

Correlation of pressure flow studies with the outcomes of prostatectomy

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【作者】 曾文彤沈宏石明魏强李虹杨宇如

【Author】 ZENG Wentong1 SHEN Hong1 SHI Ming1 WEI Qiang1 LI Hong1 YANG Yuru1 ( Department of Urology, the First Affiliated Hospital, WestChina University of Medical Sciences, Chengdu, 610041)

【机构】 华西医科大学附属第一医院泌尿外科!成都610041华西医科大学附属第一医院泌尿外

【摘要】 目的 :探讨术前测定压力 -流率是否能预测前列腺增生症 ( BPH)前列腺切除术的手术效果。方法 :对有完整压力 -流率测定资料的 5 2名 BPH患者术前及术后 5~ 11个月的国际前列腺症状评分和生活质量评分进行了分析。结果 :根据压力 -流率测定值将患者分为重度梗阻、中度梗阻、可疑或无梗阻 3个组 ,各组手术满意率分别为 89.5 %、81.8%和 5 4.5 %。结论 :压力 -流率测定诊断存在膀胱出口梗阻 ( BOO )者手术治疗可以获得满意效果 ,无 BOO者效果欠佳 ,压力 -流率测定可作为预测 BPH手术效果的指标

【Abstract】 Purpose: To determine if preoperative pressureflow studies can predicate the outcome of prostatectomy. Methods: Fiftytwo patients with benign prostatic hyperplasia (BPH) were evaluated with urodynamics and then underwent prostatectomy. Results: Patients were classified as severe, moderate, mild or no obstructed groups according to lin PURR. Preoperative IPSS and QLS were compared with that 5~11 months after operation. The satisfaction rates of three groups are 89.5 %, 81.8 % and 54.5 %, respectively. Conclusions: The results suggest that pressureflow studies would play an important role in selecting patients for prostatectomy. If the patient has bladder outlet obstruction (BOO), a satisfactory outcome of prostatectomy can be predicated. But the satisfaction rate is lower for those without BOO.

  • 【文献出处】 临床泌尿外科杂志 ,JOURNAL OF CLINAICAL UROLOGY , 编辑部邮箱 ,2000年07期
  • 【分类号】R697.32
  • 【被引频次】10
  • 【下载频次】72
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