良性前列腺增生症 良性前列腺增生症
Lancet (London, England)
|April 25, 2003
概括
下尿道症状 (LUTS) 影响许多老年人,其原因超出良性前列腺增生症. 早期诊断和初级保健管理是轻度至中度LUTS病例的关键.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 老年病的医生 老年病的医生
背景情况:
- 下尿道症状 (LUTS) 在老年人群中越来越普遍.
- 原因包括光滑肌肉功能障碍,神经因素和良性前列腺增生症 (BPH).
- 对于15-25%的50-65岁男性来说,LUTS显著影响生活质量.
研究的目的:
- 为了审查LUTS的病理生理学.
- 讨论目前对LUTS的调查和管理策略.
- 强调考虑LUTS的各种原因的重要性.
主要方法:
- 关于LUTS病理生理学的文献综述.
- 分析当前的诊断方法.
- 评估医疗和干预治疗选择.
主要成果:
- BPH 是一个重要的原因,但其他因素需要考虑准确的诊断.
- 新的医疗治疗方法 (α-上腺阻断剂,5-α-减少酶抑制剂) 使许多人能够进行初级保健管理.
- 综合初级和二级护理协议可以优化复杂病例的转诊.
结论:
- 在开始侵入性治疗之前,准确诊断LUTS病因至关重要.
- 初级保健在管理轻度至中度LUTS方面发挥着至关重要的作用.
- 有效的管理需要初级和二级保健提供者之间的合作.
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