[良性前列腺增生患者手术治疗的功能性结果]
V Kotov S1,2,3, A Bogdanov D1,2,3, G Yusufov A1,2,3
1Department of Urology and Andrology named after Academician N.A. Lopatkin of FGAOU VO N.I. Pirogov Russian National Research Medical University of the Ministry of Health of Russia, Moscow, Russia.
Urologiia (Moscow, Russia : 1999)
|September 12, 2025
概括
良性前列腺增生 (BPH) 的外科手术在第一年内显示出相似的功能结果. 然而,过尿道手术与尿道狭窄和感染性并发症的风险更高有关.
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
背景情况:
- 良性前列腺增生症 (BPH) 是老年男性常见的疾病.
- 对于BPH存在各种不同的手术干预,每个都有潜在的好处和风险.
研究的目的:
- 为了比较BPH不同手术的功能结果.
- 为了评估手术后的并发症率和泌尿功能障碍.
- 识别治疗结果低于最佳的预测因素.
主要方法:
- 一项涉及398名BPH患者的比较研究,这些患者接受了双极横尿管切除,激光核切除或腹腔镜简单前列腺切除术.
- 泌尿动力学研究是在手术前对一组患者进行的.
- 手术后对功能结果,并发症率和尿道症状进行了监测.
主要成果:
- 在手术后的第一年内,两组之间没有观察到功能结果的统计学上显著差异.
- 过渡性尿失禁发生在11.6%的患者中,持续性尿失禁发生在2.5%的患者中.
- 感染性并发症发生在15.3%的患者中,与更长的手术时间,糖尿病和细菌性尿症相关的风险更高. 经尿道手术后尿道狭窄更为常见.
结论:
- 双极性透尿切除,激光核切除和腹腔镜简单前列腺切除在短期内为BPH提供了类似的功能结果.
- 仔细选择患者和手术技术至关重要,以尽量减少诸如感染性并发症和尿道狭窄等并发症的风险,特别是通过尿道的方法.
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