在内镜前列腺疏核后尿的分析及其对手术结果的后续影响
Ying-Hao Hsu1, Chen-Pang Hou1,2, Shu-Chuan Weng3
1Department of Urology, Chang Gung Memorial Hospital at Linkou, 333, Taoyuan, Taiwan.
World journal of urology
|May 9, 2024
概括
较低的手术前最大尿流量 (Qmax) 和国际前列腺症状评分 (IPSS),以及较长的手术时间,预测前列腺去核化后的术后尿 (PUR). PUR会对手术结果产生负面影响.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
- 良性前列腺阻塞管理管理
背景情况:
- 手术后尿 (PUR) 是前列腺核切除术后的常见并发症,影响住院和患者满意度.
- 确定PUR的预测因素对于改善患者护理和手术结果至关重要.
研究的目的:
- 为了确定预测前列腺去核后一个月内手术后尿留 (PUR) 的因素.
- 研究PUR对手术后2周,3个月和6个月手术结果的影响.
主要方法:
- 对191名患有良性前列腺阻塞 (BPO) 的患者进行前列腺核切除 (前列腺的硫激光或血运动核切除) 的回顾性分析.
- 患者被分为PUR (n=24) 和非PUR (NPUR,n=156) 组.
- 随访包括尿道流量计和国际前列腺症状评分 (IPSS) 在2周,3个月,6个月.
主要成果:
- PUR组显示了2型糖尿病患病率较高的情况.
- 预测PUR的预测因素包括较低的手术前最大尿流量 (Qmax),较低的手术前总IPSS和较长的操作时间.
- 与NPUR组相比,PUR组在IPSS生活质量,IPSS总数,IPSS存储分数 (IPSS-S) 和IPSS空白分数 (IPSS-V) 中的改善较小.
结论:
- 较低的手术前Qmax,较低的IPSS得分和较长的手术时间被确定为发展PUR的危险因素.
- PUR是影响前列腺核切除手术整体外科结果的显著预后因素.
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