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术前检查对良性前列腺增生症患者经尿道前列腺电切术术后疗效的预测作用 被引量：1

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摘要 经尿道前列腺电切术（TURP）是手术治疗良性前列腺增生症（BPH）的首选方法^[1-2]，但术后10％～30％患者的下尿路症状仍无明显改善^[3-4]。近年来，药物治疗BPH发展迅速，特别是α1受体阻滞剂联合5α－还原酶抑制剂能有效改善患者国际前列腺评分（IPSS评分）和最大尿流率（Qmax），同时降低急性尿潴留的发生率和手术治疗的概率^[5]。中华泌尿外科学会2006年版BPH诊疗指南和美国泌尿外科学会2003年版BPH诊疗指南^[1-2]也提到，对于重度BPH患者（IPSS评分≥20分）可以选择手术治疗或药物治疗。因此，术前预测手术疗效非常重要。现将有关研究进展综述如下。
作者 黄轶晨 陈方
机构地区 上海交通大学医学院附属新华医院泌尿外科
出处 《上海医学》 CAS CSCD 北大核心 2008年第9期671-673,共3页 Shanghai Medical Journal
关键词 经尿道前列腺电切术 良性前列腺增生症 术前预测 预测作用 术后疗效 IPSS评分 5Α-还原酶抑制剂 BPH患者
分类号 R699.8 [医药卫生—泌尿科学]
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参考文献20

  • 1AUA Practice Guidelines Committee. AUA guideline on management of benign prostatie hyperplasia (2003). Chapter 1: Diagnosis and treatment recommendations. J Urol, 2003, 170,530-547.
  • 2Tanaka Y, Masumori N, Itoh N, et al. Is the short-term outcome of transurethral resection of the prostate affected by preoperative degree of bladder outlet obstruction, status of detrusor contractility or detrusor overactivity? Int J Urol, 2006,13 : 1398-1404.
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二级参考文献15

  • 1廖利民,石炳毅,梁春泉,蔡明,李州利.P－Q图及A－G图诊断前列腺增生性膀胱出口梗阻[J].中华泌尿外科杂志,1996,17(12):746-749. 被引量：11
  • 2Abrams P.In support of pressure-flow studies for evaluating men with lower urinary tract symptoms.Urology,1994,44:153-155.
  • 3McConnell JD.Why pressure-flow studies should be optional and not mandatory studies for evaluating men with benign prostatic hyperplasia.Urology,1994,44:156-158.
  • 4Abrams P.Objective evaluation of bladder outlet obstruction.Br J Urol,1995,76(Suppl 1):11-15.
  • 5Thomas AW,Abrams P.Patient selection:the value of pressure-flow urodynamics.Curr Opin Urol,1998,8:5-9.
  • 6Homma Y.Pressure-flow studies in benign prostatic hyperplasia:to do or not to do for the patient? BJU Int,2001,87:19-23.
  • 7Rodrigues P,Lucon AM,Campos Freire G,et al.Urodynamic pressure-flow studies can predict the clinical outcome after transurethral prostatic resection.J Urol,2001,165:499-502.
  • 8Hakenberg OW,Pinnock CB,Marshall VR.The follow-up of patients with unfavourable early results of transurethral prostatectomy.BJU Int,1999,84:799-804.
  • 9Hakenberg OW,Pinnock CB,Marshall VR.Preoperative urodynamic and symptom evaluation of patients undergoing transurethral prostatectomy:analysis of variables relevant for outcome.BJU Int,2003,91:375-379.
  • 10van Venrooij GEPM,van Melick HHE,Eckhardt MD,et al.Correlations of urodynamic changes with changes in symptoms and well-being after transurethral resection of the prostate.J Urol,2002,168:605-609.

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引证文献1

上海医学
2008年 第9期

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