在初步采用阶段优化患者选择:前列腺小于100毫升
Shin Koike1, Yu Ozawa1, Kei Ushijima1
1Department of Urology, Itabashi Chuo Medical Center, Tokyo, Japan.
概括
在100毫升以下的前列腺中,水是最安全的,减少了手术时间和灌量. 准确的前列腺体积 (PV) 估计对于成功实施水洗术至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 手术技术 手术技术
背景情况:
- Aquablation是一种用于治疗良性前列腺增生 (BPH) 的新型机器人喷水除系统.
- 预测操作时间和灌量对于安全实施至关重要,特别是在Aquablation-naïve泌尿科医生最初采用期间.
研究的目的:
- 为了确定手术时间和膀灌量的预测因子,在接受Aquablation的患者中.
- 建立最佳候选人选择的标准,在Aquablation采用早期阶段.
主要方法:
- 对123名接受水治疗的患者进行了回顾性分析.
- 多变量线性回归用于评估手术前预测器的手术时间和灌量.
- 局部估计的散射图平滑 (LOESS) 定义前列腺体积 (PV) 值.
主要成果:
- 前列腺体积 (PV) 是更长的手术时间和更高的灌量唯一独立预测因素.
- 确定了接近80毫升的灌和100毫升的运行时间的PV值.
- 与PV≥100mL的患者相比,PV<100mL的患者经历了较短的手术时间,较低的灌量和较少的血红蛋白减少.
结论:
- 前列腺体积 (PV) 低于100毫升是安全早期采用Aquablation的实际标准.
- 精确的前手术前前列腺体积估计对于成功的水程序至关重要.
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