过尿道前列腺手术后的头痛 皮尤里亚:追求证据
Ahmed M Elshal1, Khaled A Allam1, Ahmed E Abolazm1
1Depatment of Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Journal of endourology
|April 13, 2024
概括
过尿道前列腺手术 (TUPS) 后,显著的炎症持续长达24周. 常规尿液培养在TUPS后1个月是有价值的,但常规尿液分析提供有限的临床洞察力.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 尿道外前列腺手术 (TUPS) 是一种常见的治疗良性前列腺阻塞的手术.
- 了解手术后的尿路变化,包括尿尿和细菌尿,对于患者的管理至关重要.
- 在TUPS之后,早期术后尿液分析和尿液培养的临床相关性需要进一步研究.
研究的目的:
- 为了前性地评估经尿道前列腺手术 (TUPS) 后尿液分析和细菌尿的早期变化.
- 在接受TUPS的患者中评估这些尿路发现的临床相关性.
- 为了确定尿液培养后随访TUPS后的最佳时间.
主要方法:
- 对152名因良性前列腺阻塞而接受TUPS的患者的前性评估.
- 患者使用视觉障碍症-视觉模拟尺度 (DVAS),国际前列腺症状得分 (IPSS) - 生活质量,尿道流和空腔后残留量进行评估.
- 尿液分析和中间尿液培养 (MSUC) 在不同间隔进行:放出前,以及2,4,8,12和24周的术后.
主要成果:
- 在TUPS后普遍存在显著的焦灼症,超过50%的患者在24周出现焦灼症.
- 平均时间到非显著的皮尤里亚因手术技术而异,前列腺切口和核切片显示较早的分辨率.
- 积极的手术前尿白细胞化酶是积极的4周MSUC的独立预测因子;常规尿液分析显示与IPSS或DVAS的相关性有限.
结论:
- 在TUPS后长达6个月的时间内,持续性炎症和微血是常见的,随着时间的推移逐渐下降.
- 前列腺切口和核切除技术与早发性尿症的早期解决有关.
- 在TUPS后1个月的常规尿液培养具有临床意义,而在前6个月的常规尿液分析具有有限的价值.
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