Heyns C F, Hargreave T B, Redpath A D, Kendrick S W, Whyte B, Clarke J A
Department of Surgery/Urology, Western General Hospital, Scotland, Edinburgh, UK.
Eur Urol. 1995;27(2):99-103. doi: 10.1159/000475137.
Analysis of 81,374 prostatectomies performed in Scotland between 1971 and 1989 showed that the annual prostatectomy rate (per 100,000 men) increased 3-fold for procedures performed by urologists, but remained static for general surgeons. In 1971, transurethral prostatectomy comprised 16% of all prostatectomies performed by general surgeons and 55% of those performed by urologists, but by 1989 it comprised 93% of prostatectomies performed by general surgeons and 96.5% of those performed by urologists. The relative increase in the annual number of prostatectomies was greatest (2.61) in the older age group (80-89 years) and smallest (1.76) in the younger age group (60-69 years). The relative increase in the age-specific prostatectomy rate was greatest (1.79) in the youngest age group (50-59 years) and smallest (1.54) in the oldest age group (80-89 years). This indicates that the increase in the annual number of prostatectomies performed in the older age groups is largely the result of an increase in the number of elderly men in the population, but this is compounded by an expansion of the indications for prostatectomy in all age groups.
对1971年至1989年间在苏格兰进行的81374例前列腺切除术的分析表明，泌尿外科医生进行的手术的年前列腺切除率（每10万名男性）增长了3倍，而普通外科医生的该比率保持不变。1971年，经尿道前列腺切除术在普通外科医生进行的所有前列腺切除术中占16%，在泌尿外科医生进行的手术中占55%，但到1989年，它在普通外科医生进行的前列腺切除术中占93%，在泌尿外科医生进行的手术中占96.5%。前列腺切除术年度数量的相对增长在老年组（80 - 89岁）中最大（2.61），在年轻组（60 - 69岁）中最小（1.76）。特定年龄前列腺切除率的相对增长在最年轻组（50 - 59岁）中最大（1.79），在最老组（80 - 89岁）中最小（1.54）。这表明老年组中前列腺切除术年度数量的增加很大程度上是人口中老年男性数量增加的结果，但各年龄组前列腺切除术适应证的扩大也加剧了这一情况。
