前列腺增生症术前评估的泌尿外科中心调查及当前实践综述

Survey of urological centres and review of current practice in the pre-operative assessment of prostatism.

作者信息

Wilkinson A G, Wild S R

机构信息

Department of Radiology, Western General Hospital, Edinburgh.

出版信息

Br J Urol. 1992 Jul;70(1):43-5. doi: 10.1111/j.1464-410x.1992.tb15662.x.

DOI:10.1111/j.1464-410x.1992.tb15662.x

PMID:1379104

Abstract

A survey of 24 urological centres has shown a wide variation in the routine pre-operative assessment of patients being considered for prostatectomy. Imaging of the urinary tract by intravenous urography (IVU) or ultrasound (US) is performed in 21/24 centres (79%) and plain films in 16/24 (67%). Post-micturition residual volume (PMRV) is estimated quantitatively in 10/24 centers (42%). Although there is little agreement on what constitutes a significant PMRV, a large PMRV leads to increased likelihood of operation, and earlier operation. Peak urine flow rate (Q max) is measured in 19/24 centres (79%). The significance of these findings is discussed.

摘要

一项对24个泌尿外科中心的调查显示，在考虑接受前列腺切除术患者的常规术前评估方面存在很大差异。24个中心中有21个（79%）通过静脉尿路造影（IVU）或超声（US）对尿路进行成像，24个中心中有16个（67%）进行平片检查。24个中心中有10个（42%）对排尿后残余尿量（PMRV）进行了定量估计。尽管对于什么构成显著的PMRV几乎没有一致意见，但PMRV值高会增加手术的可能性，并且手术时间会更早。24个中心中有19个（79%）测量了最大尿流率（Q max）。文中讨论了这些发现的意义。