查詢結果分析
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題 名 | Cost-Effectiveness of Intravenous Urography and Abdominal Ultrasonography in Pre-operative Evaluation of Symptomatic Benign Prostatic Hyperplasia=評估對於攝護腺肥大患者以靜脈注射腎盂照影及腹部超音波做為手術前常規檢查之經濟效益 |
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作 者 | 孫紀征; 陳光國; 林登龍; 張延驊; 吳宏豪; 徐慧興; 邱文祥; 黃志賢; 張心湜; | 書刊名 | 中華民國泌尿科醫學會雜誌 |
卷 期 | 8:3 1997.09[民86.09] |
頁 次 | 頁121-125 |
分類號 | 416.275 |
關鍵詞 | 攝護腺肥大; 經濟效益; 靜脈注射腎盂照影; 超音波; Prostatic hyperplasia; Cost effectiveness; Urography; Ultrasonography; |
語 文 | 英文(English) |
中文摘要 | 本研究即是評估對攝護腺肥大患者以靜脈注射腎盂照影及腹部超音波做為手術前 常規檢查之經濟效益。自 1995 年 1 月至 1995 年 6 月,排除過去有泌尿系統疾患、血尿 、或腎絞痛病史者, 共有 266 位病人(年齡分布由 46 至 89 歲,平均 70.8 歲)接受經 尿道攝護腺切除手術。常規實驗室檢查包括血液分析(血紅素、白血球、血小板、尿素氮及 肌酸酐)和尿液分析。 共收集靜脈注射腎盂照影 161 人次,腹部超音波 124 人次。 其中 19 人接受兩種檢查。 從靜脈注射腎盂照影和腹部超音波分別可發現 37.9 %及 68.5 %異 常。其中從靜脈注射腎盂照影中發現的異常表現包括水腎( 8 %)、輸尿管水腫( 5.6 % )、尿路結石( 13.7 %)、顯影缺陷( 3.7 %)及疑腎腫瘤( 9.3 %)。腹部超音波中 發現的異常表現包括水腎( 8.9 %)、尿路結石( 24.2 %)、 單純腎水囊( 29 %)、 及疑似腫瘤( 3.2 %)。 所有靜脈注射腎盂照影中發現的疑腎腫瘤後來經腹部超音波證實 都為單純腎水囊。在靜脈注射腎盂照影及腹部超音波中可發現的顯著異常分別有 29.3 %和 25.7 %可在接受經尿道攝護腺切除手術時發現。 大部分靜脈注射腎盂照影及腹部超音波的 顯著異常,常常伴隨有尿液檢查異常。靜脈注射腎盂照影及腹部超音波檢查只對極少的病人 有幫助。而這些檢查對醫療費用卻顯著地增加。因此,從本研究結果顯示對於攝護腺肥大患 者以靜脈注射腎盂照影及腹部超音波做為手術前常規檢查並不符合經濟效益。 |
英文摘要 | The aim of this study is to investigate the cost-effectiveness of intravenous urography or abdominal ultrasonography as a routine examination in patients with symptomatic benign prostatic hyperplasia (BPH). From January, 1995 to June, 1995, 266 men, 46 to 89 years old (mean 70.8) with symptomatic BPH who underwent transurethral resection of the prostate (TURP) were included in this study. The exclusion criteria include previous known diseases of genitourinary tract, gross hematuria, and history of renal colic. Routine laboratory investigations consisted of blood analysis (hemoglobin, white cell, platelet count and blood urea nitrogen, creatinine) , and urinalysis. Intravenous urography (IVU) and abdominal ultrasonography from 161 and 124 consecutive patients respectively with symptomatic BPH were collected. Nineteen men received both examinations due to equivocal findings by one of these studies. Abnormalities identified from IVU and abdominal ultrasonography were 37.9% and 68.5%, respectively. The abnormalities identified from IVU include hydronephrosis (8%), hydroureter (5.6%), urolithiasis (13.7%), filling defect (3.7%), and suspected renal mass (9.3%). Those from abdominal ultrasonography were hydronephrosis (8.9%), urolithiasis (24.2%), simple renal cyst (29%), and tumor (3.2%). All of the suspected renal mass by IVU were renal cysts which were identified by abdominal ultrasonography. Those significant abnormal findings of IVU and abdominal ultrasonography that may be found during TURP are about 29.3% and 25.7%, respectively. The majority of significant abnormalities by both IVU and ultrasonography were also accompanied with abnormal urinalysis. Few patients would benefit from IVU or abdominal ultrasonography before TURP, and they do cost a significant expenditure in medical care. These data demonstrate that routine assessment with IVU or abdominal ultrasonography may not be cost-effective for preoperative evaluation of patients with symptomatic BPH. |
本系統中英文摘要資訊取自各篇刊載內容。