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患有脱体低活性的患者手术结果和预测因素接受膀出口阻塞手术的患者

Ming-Syun Chuang¹, Yin-Chien Ou¹, Yu-Sheng Cheng¹

¹Department of Urology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

International neurourology journal

|April 3, 2024

概括

膀外出手术可以改善男性的尿路症状与detrusor低活性和阻塞. 诸如detrusor过度活跃和导管等因素预测了成功的结果,而没有阻塞则表明失败风险更高.

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.
下尿道的症状下尿道的症状

背景情况:

抑郁器低活性 (DU) 在管理下泌尿道症状 (LUTS) 方面存在挑战.
膀外出手术在有或没有阻塞的DU患者中的作用需要进一步澄清.
确定手术成功的预测因素对于患者的选择和管理至关重要.

研究的目的:

为了评估膀外出手术在男性与detrusor低活性 (DU) 的疗效.
在这个患者群体中确定与成功的外科手术结果相关的因素.
评估膀输出阻塞 (BOO) 对DU手术结果的影响.

主要方法:

追溯对93名患有DU的男性患者进行膀外出手术的回顾.
使用国际前列腺症状评分 (IPSS),尿液流量计 (UFM) 和尿动力学研究进行评估.
成功的结局定义为≥50%的IPSS改善或恢复自发排泄.

主要成果:

在患有显著或模两可的膀输出阻塞 (BOO) 的患者中,观察到IPSS,最大尿流率和排泄效率的显著改善.
没有阻塞的患者在IPSS或UFM中没有显著改善.
体过度活跃和手术前尿导管治疗与有利的结果相关 (分别为OR 3.152,P=0.025和OR 2.756,P=0.040).

结论:

膀外出手术可以改善DU和BOO的男性的LUTS,生活质量和UFM.
患有DU和无阻塞膀出口的患者患有治疗失败的风险更高.
手术前的排泄器过度活跃和导管预测了更好的外科手术结果,支持在DU患者的尿路保留中进行除手术.

关键词:

膀出口的阻塞膀出口的阻塞驱动器的低活性驱动器低活性过度活跃的破坏者前列腺前列腺前列腺尿动力学尿动力学尿动力学

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