经尿道前列腺电切术治疗良性前列腺增生症疗效相关参数的研究

Kasım Emre Ergün, S. Kalemci, T. Bahçeci, F. Kızılay, M. Özyurt
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引用次数: 1

摘要

目的:评估因良性前列腺肥大而接受经尿道前列腺电切术的患者的术后获益率和可能与术后获益相关的各种参数,以及经尿道前列腺切除术的治疗效果,并研究是否可以实现预测这一点的参数。材料和方法:回顾性评估2015年至2016年7月在我们诊所接受经尿道前列腺电切术的100名患者。记录术前估计的前列腺重量、国际前列腺症状评分、最大流速、排尿后残余尿量和切除的前列腺组织重量。在术后6周至6个月,重新记录患者的数据并进行统计分析。结果:IPSS下降11.40(53.4%),Qmax上升11.10 ml/s(110%),PVR下降59.60 ml(59%)。术前IPSS≥20、术前Qmax≤10 ml/sec、PVR>100 ml的患者IPSS的下降率在统计学上显著高于对照组(p100 ml(分别为p=0.012、p 50 g和RDA/TPA≤0.3(分别为p 0.027和p 0.008))。结论:我们认为,获得更清晰的可能与经尿道前列腺电切术疗效相关的数据,可以指导临床医生对患者的随访和治疗选择,还需要更多的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigation of parameters related to treatment efficiency in patients undergoing transurethral prostate resection for benign prostatic hyperplasia
Aim: Evaluation of the postoperative benefit rates and various parameters that may be associated with the postoperative benefit in patients who underwent transurethral resection of the prostate due to benign prostate enlargement and the treatment efficacy of transurethral resection of the prostate and to investigate whether the parameters that can predict this can be achieved. Materials and Methods: 100 patients who underwent transurethral resection of the prostate in our clinic between 2015-2016 July were evaluated retrospectively. Preoperative estimated prostate weight, international prostate symptom score , maximum flow rate, postvoid residual urine volume , and resected prostate tissue weights were recorded. In the postoperative six weeks to six months, the data of the patients were re-recorded and statistical analyzes were performed. Results: It was determined that the decrease in IPSS was 11.40 (53.4%), the increase in Qmax was 11.10 ml/s (110%) and the decrease in PVR was 59.60 ml (59%). The decrease in IPSS was found to be statistically significantly higher in those with preoperative IPSS ≥ 20, preoperative Qmax ≤ 10 ml/sec, and PVR >100 ml (p100 ml (p=0.012, p 50 g and RDA / TPA ≤ 0.3 (p=0.027 and p=0.008, respectively). Conclusion: We think that obtaining clearer data that may be related to the efficacy of transurethral resection of the prostate can guide clinicians in patient follow-up and treatment selection, and more studies are needed on this subject.
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