Schafer列线图在良性前列腺增生术前评价中的应用

EVALUATION OF PEROPERATIVE PATIENTS WITH BPH USING SCHAFER NOMOGRAM

目的 :研究Schafer列线图在确定前列腺手术适应证中的作用。方法 :对 45例前列腺增生症 (BPH)患者进行了压力 -流率测定 ,经Schafer列线图和线性被动尿道阻力关系 (Lin -PURR)定量分析BPH患者膀胱出口梗阻 (BOO)程度和逼尿肌收缩强度。结果 :本组患者无BOO和轻度BOO者为 2 0 .0 % ,逼尿肌收缩强度很弱者为 8.9% ,不适合前列腺手术者为 2 8.8%。结论 :对BPH患者术前作出准确的评价 。

Objective:We performed a study to assess the effect of Schafer nomogram in peropreative patients with BPH.Methods:Pressure-flow studies have been carried out and analyzed for its role in preoperative in 45 cases of BPH. Schafer nomogram and linearized passive urethral resistance were used to evaluate quantitatively the bladder outlet obstruction(BOO ) and the detrusor strength.Results:Patients with no or mild BOO and very weak detrusor strength consisted of 20.0% and 8 9% respectively, and prostatectomy was not indicated in 28.9%.Conclusions:It is important to have precise evaluate of patients with BPH before treatment.