摘要
目的：评价尿动力学检查、国际前列腺症状评分（IPSS）对判断BPH患者腔内手术后短期效果的价值。方法：回顾性分析2004年6月～2006年9月住院接受前列腺等离子体前列腺汽化切除及PVP激光汽化的216例BPH患者临床资料。所有患者术前均接受尿动力学检查及IPSS评估，将IPSS评估分为排尿刺激评分（IPSS1）和排尿梗阻评分（IPSS2）两部分记录，术后平均随访8．7个月，术后6个月再次行尿流率检查及IPSS评估。将术前留置导尿者术后最大尿流率超过12ml／s或手术前后最大尿流率改善超过50％视为疗效显著。结果：216例患者的手术前后最大尿道压力（Pmax）、IPSS、IPSS1、IPSS2的改变均有统计学意义（P〈0．05）。137例患者术后6个月疗效满意，比较高低两疗效组问术前各项指标，仅有IPSS2差异存在统计学意义（P=0．039）。结论：通过腔内手术可解除BPH患者的梗阻症状，IPSS中关于排尿梗阻的评估可作为判断手术短期疗效的简便指标。在尿动力学检查中，尿道阻力较高者有可能通过腔内手术获得较满意的疗效。
Objective：To evaluate the value of urodynamic examination and IPSS score to anticipate the effect of transurethral prostate resection. Methods： During Jul. 2004 to Sep. 2006, 216 benign prostatic hyperplasia patients were performed transurethral bipolar plasmakinetie and greenlight photoselective vaporization prostatectomy in our hospital. All the patients were adopted to IPSS evaluation and urodynamic study preoperatively. IPSS evaluation was separated with two parts as obstruction score （IPSS1） and irritation score （IPSS2）. The mean follow-up peri- od postoperative was 8. 7 months. We definite the maximum flow rate increasing more than 50% postoperative as significant curative effectiveness, and the maximum flow rates exceed 12 ml/sec to the patients catheterized preoperative, also definited as significant curative effectiveness. Results：The changes of IPSS score, including obstruction score and irritation score, as well as maximum urethral pressure （Pmax） had statistics significant difference postoperatively（P〈0.05）. 137 patients got high curative effect 6 months postoperatively. Separating the patients by curative effect, and comparing the preoperative indexes, there was only obstruction score having statistics sig- nificant difference（P= 0. 039）. Conclusions：The questions which reflect the obstructive degree of low urinary tract in IPSS questionnaire are a convenient index to anticipate the short term curative effect of transurethral prostate resection.
出处
《临床泌尿外科杂志》
2007年第12期888-891,共4页
Journal of Clinical Urology
