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中文摘要

《亚洲男性学杂志》 2010; 12 (5): 728-734

高功率钾钛氧磷酸光选择性前列腺汽化术治疗一年后的满意度调查

本文旨在调查高功率钾钛氧磷酸(KTP)光选择性前列腺汽化术后的满意度的影响因素。主要通过满意和不满意患者之间的比较进行。我们对97名(53–82岁之间,平均年龄67岁)由良性前列腺增生引发下尿路症状的患者进行了KTP激光前列腺汽化术治疗。治疗12个月后,60名患者满意,另外37名不满意。治疗前两组患者的国际前列腺症状评分(IPSS)无差异,但治疗1、3、6、12个月后,满意组的IPSS高于不满意组(P < 0.05)。治疗前及治疗后12个月中,除治疗后一个月外,不满意组的最大尿流率一直较低(P < 0.05)。其它客观因素,如残尿量和基于频数容积图的排尿次数,两组患者无差异。多变量模型分析表明逼尿肌收缩性与满意度相关,收缩性指标越高,12个月后满意的可能性越大(OR = 1.024, 95%CI 1.001–1.048, P < 0.05)。不满意组患者的主观症状和最大尿流率改善较差。本调查研究表明高功率KTP激光前列腺汽化术治疗的满意度受逼尿肌收缩性影响。

关键词:良性前列腺增生,钾钛氧磷酸,前列腺,满意,汽化

 
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