人工泌尿器のインプラントを施した患者の尿流量測定
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PubMedで要約を見る
まとめ
この要約は機械生成です。人工性泌尿器 (AUS) のインプラントは最大12ヶ月間,最大流量を含む尿流量計のパラメータを大幅に改善します. この客観的な改善は,患者の報告したインコチネンスの改善を補完するものです.
科学分野
- 泌尿器科
- 医療機器
- 義肢
背景
- 重度のストレス性尿失禁 (SUI) はしばしば前立腺切除によるものです.
- 人工性泌尿器 (AUS) は SUIの治療法である.
- AUS導入前と後の客観的な尿流量測定データは,結果の評価に不可欠です.
研究 の 目的
- 人工泌尿器 (AUS) の移植前と後の患者における尿流量測定のパラメータを評価する.
- 客観的な尿流量指標に対するAUSのインパクトを評価する.
- 尿流量測定の結果と患者の人口統計を相関させる.
主な方法
- 前立腺切除後のSUI患者35人が初代AUSインプランテーションを受けた.
- 挿入前と活性化後1,3,6,12ヶ月で尿流量検査を行った.
- 検証されたアンケート (KHQ,IPSS,QOL) で主観的な結果が評価されました.
主要な成果
- 最大流量 (Qmax) はAUS植入後 (20.4〜26. 0mL/ s) で有意に増加し,12ヶ月で維持された (p=0. 011).
- 主観的なスコア (KHQ,IPSS,QOL) はAUSの移植後に有意な改善を示した.
- 73歳未満の患者でQmaxと空出量が高いことが観察されました.
結論
- 人工門の植え付けは,少なくとも12ヶ月間,尿流量計のパラメータの持続的な改善につながります.
- AUSインプラントは,SUI患者にとって客観的な (ウロフローメトリー) と主観的な改善の両方を提供します.
- この研究は,AUSの植入後の尿流量測定の結果を初めて報告したものです.
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