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膀胱内梗阻所致急性尿潴留的意义

Significance of acute urinary retention due to intravesical obstruction.

作者信息

Breum L, Klarskov P, Munck L K, Nielsen T H, Nordestgaard A G

出版信息

Scand J Urol Nephrol. 1982;16(1):21-4. doi: 10.3109/00365598209179635.

DOI:10.3109/00365598209179635
PMID:7089491
Abstract

Acute urinary retention was relieved by simple transurethral emptying of the bladder in 107 men. In a group of 70 men with either diagnosed or assumed benign hyperplasia of the prostate, 70% (45/64) had repeat retention within one week and in only 16% (11/68) was micturition unaffected during the observation period of five years. Definitive treatment of the underlying disease was performed mainly during the first six months. The prognosis in benign prostatic hyperplasia was independent of patient age, volume of retained urine or previous occurrence of retention. It is concluded that acute urinary retention is a powerful indication for definitive treatment in prostatic disorders and that simple mechanical emptying of the bladder is unacceptable without subsequent observation.

摘要

107名男性通过简单的经尿道膀胱排空缓解了急性尿潴留。在一组70名已诊断或疑似患有前列腺良性增生的男性中,70%(45/64)在一周内再次出现尿潴留,在五年的观察期内,只有16%(11/68)的排尿未受影响。基础疾病的确定性治疗主要在前六个月进行。前列腺良性增生的预后与患者年龄、残余尿量或既往尿潴留发作无关。得出的结论是,急性尿潴留是前列腺疾病确定性治疗的有力指征,在没有后续观察的情况下,简单的机械性膀胱排空是不可接受的。

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2
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Korean J Urol. 2012 Apr;53(4):248-52. doi: 10.4111/kju.2012.53.4.248. Epub 2012 Apr 18.
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Acute urinary retention: risks and management.急性尿潴留:风险与管理
Rev Urol. 2005;7 Suppl 4(Suppl 4):S31-41.
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Benign prostatic hyperplasia and its treatment.良性前列腺增生及其治疗
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