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一项关于泌尿科医生对前列腺增生患者态度的调查。

A survey concerning the attitudes of urologists toward prostatism patients.

作者信息

Hansen M V, Wold T

机构信息

Department of Surgery, Central Hospital, Fredrikstad, Norway.

出版信息

Scand J Urol Nephrol. 1994 Sep;28(3):257-64.

PMID:7529432
Abstract

In a questionnaire all urological units in Norway were asked about: 1. The examinations they routinely used for prostatism patients before deciding upon treatment. 2. How they would score different objective and subjective information about these patients on a scale from 0 to 10. 3. How the physicians classified different prostatism symptoms into categories of weak, moderate and severe. The results were: Urinary retention occurring more than once or residual urine greater than 500 ml was considered an absolute indication for surgery. Agreement about indications for surgery was good for information which received a high median score, but was much poorer for information which received a lower median score. Agreement on how to classify different symptoms into categories according to severity was not good. Using the median classification of symptoms it was estimated that urologists believe that 0.1-5.8% of men over 60 years of age have severe symptoms, 2.1-36.4% have moderate symptoms and 57.8-97.8% weak or no symptoms.

摘要

在一份调查问卷中,挪威所有的泌尿外科单位被问及以下问题:1. 在决定治疗方案之前,他们对前列腺增生患者常规进行哪些检查。2. 他们如何将关于这些患者的不同客观和主观信息按0至10分的量表进行评分。3. 医生如何将不同的前列腺增生症状分为轻度、中度和重度类别。结果如下:发生不止一次的尿潴留或残余尿量超过500毫升被视为手术的绝对指征。对于中位数评分较高的信息,关于手术指征的一致性良好,但对于中位数评分较低的信息,一致性则差得多。在如何根据严重程度将不同症状分类方面,一致性并不好。根据症状的中位数分类估计,泌尿科医生认为60岁以上男性中,0.1%至5.8%有严重症状,2.1%至36.4%有中度症状,57.8%至97.8%有轻度症状或无症状。

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