【德国良性前列腺梗阻的当代外科治疗:基于2006年至2019年德国医院质量报告数据的全人群研究】。

Der Urologe. Ausg. A Pub Date : 2022-05-01 Epub Date: 2022-02-16 DOI:10.1007/s00120-022-01777-9
Annemarie Uhlig, Martin Baunacke, Christer Groeben, Angelika Borkowetz, Björn Volkmer, Sascha A Ahyai, Lutz Trojan, Nicole Eisenmenger, Andreas Schneider, Christian Thomas, Johannes Huber, Marianne Leitsmann
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引用次数: 2

摘要

背景:近年来,良性前列腺梗阻(BPO)的外科治疗有了很大的发展。目的:本研究的目的是介绍德国手术BPO治疗的当代管理和趋势。材料和方法:使用在线平台报销提取疾病和手术率。基于德国医院质量报告数据的信息。对于良性前列腺增生(BPH)的诊断,使用ICD代码N40和D29.1。为了评估手术过程,使用OPS代码5 - 600.0、5 - 601、5 - 603、5 - 609.4和5 - 609.8及其子代码。除描述性分析外,还进行了趋势分析和相关分析。结果:2019年,473个泌尿外科共实施BPO 83687例。最常见(71.7%)的手术是经尿道前列腺切除术(turp)。钬激光前列腺除核术;9.5%)和手术腺瘤切除术(5.6%)是第二和第三常见的手术。铥激光去核(ThuLEP);3.1%),激光汽化(2.9%)和电汽化(2.8%)。结论:TUR - P仍然是BPO最常用的手术治疗方法。激光治疗——尤其是在中心——正在增加,而手术腺瘤切除术继续减少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

[Contemporary surgical management of benign prostatic obstruction in Germany : A population-wide study based on German hospital quality report data from 2006 to 2019].

[Contemporary surgical management of benign prostatic obstruction in Germany : A population-wide study based on German hospital quality report data from 2006 to 2019].

[Contemporary surgical management of benign prostatic obstruction in Germany : A population-wide study based on German hospital quality report data from 2006 to 2019].

[Contemporary surgical management of benign prostatic obstruction in Germany : A population-wide study based on German hospital quality report data from 2006 to 2019].

Background: The surgical management of benign prostatic obstruction (BPO) has greatly evolved in recent years.

Objectives: The aim of this study is to present contemporary management and trends for surgical BPO therapy in Germany.

Materials and methods: Disease and procedure rates were extracted using the online platform reimbursement.INFO that is based on German hospital quality report data. For the diagnosis of benign prostate hyperplasia (BPH), the ICD codes N40 and D29.1 were used. For evaluation of the surgical procedures OPS codes 5‑600.0, 5‑601, 5‑603, 5‑609.4 and 5‑609.8 including their subcodes were used. In addition to descriptive analyses, trend and correlation analyses were performed.

Results: In 2019, a total of 83,687 procedures for BPO in 473 urological departments were performed. The most common (71.7%) surgery was transurethral resection of the prostate (TUR-P). Holmium laser enucleation of the prostate (HoLEP; 9.5%) and surgical adenomectomy (5.6%) were the second and third most common procedures. Less often thulium laser enucleation (ThuLEP; 3.1%), laser vaporisation (2.9%) and electrical vaporisation (2.8%) were performed. All other techniques were performed in < 1%. Rates of HoLEP, ThuLEP and electrovaporisation have increased since 2006 (HoLEP: +42.42%/year, p < 0.001; ThuLEP: +20.6%/year, p = 0.99; electrovaporisation +43.42%/year, p < 0.001), while surgical adenomectomy decreased (-1.66%/year, p < 0.01). In 2019 mean length of hospital stay was 5.1 ± 0.1 days.

Conclusions: TUR‑P remains the most often performed surgical treatment for BPO. Laser therapy-especially in centers-is increasing, while surgical adenomectomy continues to abate.

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