经尿道前列腺切除术术中 void 评分作为疗效标志物的作用：一项可行性研究。
The role of intra-operative void score during transurethral resection of prostate as a marker of efficacy: a feasibility study.
机构信息
Dunedin Hospital, Southern District Health Board, Dunedin, New Zealand.
Biostatistics Centre, Division of Health Sciences, University of Otago, Dunedin, New Zealand.
出版信息
ANZ J Surg. 2022 Jun;92(6):1492-1497. doi: 10.1111/ans.17664. Epub 2022 Mar 30.
BACKGROUND
To assess the feasibility of a novel intra-operative void scoring technique. To determine if intra-operative void score (VS) could act as a marker for post-operative success following TURP.
METHODS
Fifteen patients undergoing TURP were included in this single-centre feasibility study. All patients had indwelling urinary catheters for recurrent retention due to benign prostatic hyperplasia (BPH). In theatre, immediately before- and after TURP, an intra-operative VS was measured and graded 0-5. Primary outcomes were the feasibility of measuring intra-operative VS and its accuracy in predicting surgical outcome.
RESULTS
A combined pre- and post-score with a threshold ≥6 correctly predicted 82% of those who were catheter free (sensitivity) and 100% of those who were not catheter free (specificity) at follow up and the positive predictive value was 100% and negative predictive value 60%.
CONCLUSION
Intra-operative void score during TURP is simple, reproducible, fast and requires minimal resources. In TURP it may predict successful outcomes by identifying patients who will be catheter free post-operatively as opposed to those who will be catheter dependent despite the procedure.
背景
评估一种新型术中排空评分技术的可行性。确定术中排空评分（VS）是否可以作为 TURP 后术后成功的标志物。
方法
本单中心可行性研究纳入了 15 例因良性前列腺增生（BPH）而反复发生潴留需要留置导尿管的接受 TURP 的患者。在手术室中，在 TURP 前后立即测量并分级 0-5 分的术中 VS。主要结局是测量术中 VS 的可行性及其预测手术结果的准确性。
结果
联合术前和术后评分，阈值≥6 分可正确预测 82%的无导尿管患者（敏感性）和 100%的仍需导尿管患者（特异性）在随访时的情况，阳性预测值为 100%，阴性预测值为 60%。
结论
TURP 期间的术中排空评分简单、可重复、快速且所需资源最少。在 TURP 中，它可以通过识别术后无需导尿管的患者来预测手术成功，而不是识别那些尽管进行了手术但仍需要导尿管的患者。
Zotero 插件