预测术后药物治疗的预测因素,对于前列腺的霍尔激光除核后过活性膀症状
Sung Jin Kim1, Sung Gon Park1, Sahyun Pak1
1Department of Urology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea.
概括
手术前的膀过活史,体过活和急性症状可能预测在荷尔激光前列腺核化 (HoLEP) 后需要药物治疗. 这有助于识别可能需要进一步管理持续存储症状的患者.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
- 患者的治疗结果.
背景情况:
- 前列腺的霍尔激光核切除 (HoLEP) 是治疗良性前列腺增生的一种常见手术.
- 在HoLEP后持续存储症状会影响生活质量,需要进一步治疗.
- 确定这些症状的预测因素对于患者管理至关重要.
研究的目的:
- 为了确定预先操作的因素,预测HoLEP后存储症状的持续性.
- 评估术前变量与术后药物治疗的需要之间的相关性.
主要方法:
- 对257名接受HoLEP治疗的患者进行了回顾性审查,随访时间超过6个月.
- 收集手术前的数据,包括IPSS,尿液流量计,前列腺大小,PSA和尿动力学研究.
- 评估变量与术后药物使用之间的相关性 (抗肌癌药物或β-3激动剂).
主要成果:
- 18.6%的患者需要术后药物治疗储存症状.
- 需要药物的患者在术后IPSS存储和生活质量得分较差.
- 手术前过度活跃的膀病史,终端dtrusor过度活跃性和IPSS紧急项目是需要药物的重要预测因素.
结论:
- 手术前过度活跃的膀病史,终端dtrusor过度活跃性和IPSS紧急项目可能预测需要HoLEP后药物治疗.
- 需要进一步的研究,以了解de-novo药物组,并减轻患者的不适.
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