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相關文獻
- Prostatism and Prostatic Size in the Diagnosis of Prostatic Obstruction
- Relationships of Maximal Flow Rate, Residual Urine and Bladder Function in Prostatic Obstruction
- Assessment of Prostatic Obstruction and Bladder Function by Urodynamic Pressure Flow Study
- The Diagnostic Value of Urethral Closure Pressure Profilometry in Prostatic Obstruction
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題名 | Prostatism and Prostatic Size in the Diagnosis of Prostatic Obstruction=前列腺症候群及前列腺大小在前列腺阻塞之診斷價值 |
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作者姓名(中文) | 郭漢崇; 蔡崇璋; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 21:3 1988.05[民77.05] |
頁次 | 頁273-281 |
分類號 | 416.275 |
關鍵詞 | 前列腺症候群; 前列腺大小; 前列腺阻塞; |
語文 | 英文(English) |
中文摘要 | 七十五位臨床診斷為具有前列腺肥大併阻塞之病人接受傳統診斷法以及動態膀胱內壓/尿流研究。結果可將病人分為三群:(1)無阻塞群:共18名病人,(2)輕度阻塞:共23位病人及(3)重度阻塞群:共34位病人。 我們記錄病人之詳細症狀以及肛診結果、經靜脈尿路攝影之膀胱底缺損情形和經直腸前列腺超音波結果,在三群病人中作統計分析。其結果如下: (一)急尿及急尿失禁在不穩定性膀胱及膀胱下阻塞是極可靠之症狀。其餘症狀除尿流量小較可算外,對診斷前列腺阻塞均不可靠。 (二)肛診對前列腺之真正大小並不可錯,更無法預測前列腺阻塞的程度。 (三)尿路造影術所見膀胱底缺損之大小在診斷前列腺阻塞上極有幫助,其缺損程度愈大可能代表阻塞情形愈嚴重。 (四)經直腸超音波雖可以確切診斷前列腺之大小及早期發現前列腺癌,但對於前列腺阻塞程度之判定只有前後徑(AP)較為可靠,前後徑愈大表示阻塞程度愈嚴重。 由以上結論可知症狀及前列腺大小並不能完全信賴,為了避免對沒有阻塞之病人施行手術,動態尿路研究仍是最好之診斷方法。 |
英文摘要 | The symptomatology and results of conventional diagnostic methods for estimation of prostatic size were carefully correlated with the results of urodynamic pressure flow study in 75 males, sufferring from prostatism and suspected to have prostatic obstruction clinically. The term "prostatism", is rather unreliable and not pathognomonic for prostatic obstruction except in instances of urgency, urgency incontinence (88% of unstable obstructed patients) and small caliber of urine (61% of mild obstructed and 91% of severe obstructed patients). Digital palpation cannot estimate either actual prostatic size nor the degree of obstruction. Prostatic obstruction may be strongly suspected if a patient has high-grade bladder base elevation on intravenous urography, but obstruction cannot be excluded from a normal cystogram. The actual size of the prostatic gland measured by transrectal ultrasound cannot predict the degree of obstruction in patients with prostatism. The anteroposterior length of the maximal cross section of the prostate in transrectal ultrasonography of the prostate may be of greater prredictive value for obstruction. |
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