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经尿道射频热疗或热疗法治疗良性前列腺增生:65例连续病例的前瞻性试验。

Transurethral radiofrequency heating or thermotherapy for benign prostatic hypertrophy: a prospective trial on 65 consecutive cases.

作者信息

Meier A H, Weil E H, van Waalwijk van Doorn E S, Verhaegh G T, Janknegt R A

机构信息

Department of Urology, University Hospital Maastricht, Rijks Universiteit, The Netherlands.

出版信息

Eur Urol. 1992;22(1):39-43. doi: 10.1159/000474719.

DOI:10.1159/000474719
PMID:1385144
Abstract

65 consecutive cases with symptomatic benign prostate hypertrophy were treated with transurethral radiowave thermotherapy (TURF) using the Thermex-II at a temperature of 44.5 degrees C. We report uroflowmetry and symptom scores after a follow-up of 6 months. The mean age was 63 years, the mean maximal flow (Qmax) was 8.3 ml/s, mean voided volume was 195.6 ml, mean residual urine was 60.7 ml and the mean Madsen symptom score 9.7. Values at baseline and at 1, 3 and 6 months after TURF are discussed. The mean subjective symptom score dropped to 6.3 (p < 0.01). In the entire group, the objective measure scores (OMS) did not change significantly. However the OMS improved significantly in a subgroup with a Qmax < 10.0 ml/s. The Madsen symptom score improved in 70% of the cases after 6 months.

摘要

65例有症状的良性前列腺增生患者采用Thermex-II型设备经尿道射频热疗(TURF),治疗温度为44.5摄氏度。我们报告了6个月随访后的尿流率测定结果和症状评分。平均年龄为63岁,平均最大尿流率(Qmax)为8.3毫升/秒,平均排尿量为195.6毫升,平均残余尿量为60.7毫升,平均马德森症状评分为9.7。讨论了TURF治疗前及治疗后1个月、3个月和6个月时的各项数值。平均主观症状评分降至6.3(p<0.01)。在整个研究组中,客观测量评分(OMS)没有显著变化。然而,在Qmax<10.0毫升/秒的亚组中,OMS有显著改善。6个月后,70%的患者马德森症状评分有所改善。

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