Symptom status and quality of life following prostatectomy.
Symptom status and quality of life following prostatectomy.
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前列腺切除术后的症状状态和生活质量。
DOI：
10.1001/jama.1988.03720200040030
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发表时间：
1988
期刊：
影响因子：
--
通讯作者：
D. F. Hanley
中科院分区：
文献类型：
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作者：
F. J. Fowler;J. Wennberg;R. P. Timothy;M. J. Barry;A. Mulley;D. F. Hanley
当前列腺切除术被提议用于治疗前列腺病的症状时，手术的决定应该取决于患者如何评估他们的症状和关于结果的客观信息。我们进行了一项健康访谈研究，以确定症状缓解、生活质量改善和手术后并发症的可能性，并评估患者对前列腺病症状的担忧。手术在减轻症状方面是有效的：93%的重度患者和79%的中度症状患者经历了改善；然而，生活质量指数的改善只有在手术前出现急性淤积或严重症状的患者中才有统计学意义的改善。24%的患者出现不同严重程度的短期并发症；此外，4%的患者报告持续性大小便失禁，5%的患者报告阳萎。有相似症状的患者报告说，他们被自己的症状困扰的程度有很大的差异。这一结果强调了患者参与决定接受前列腺切除术的重要性。
When prostatectomy is proposed as treatment for the symptoms of prostatism, the decision to operate should depend on how patients evaluate their symptoms and on objective information about the outcomes. We undertook a health interview study to determine the probabilities for symptom relief, improvement in the quality of life, and complications following surgery and to evaluate patient concern about the symptoms of prostatism. The operation was effective in reducing symptoms: 93% of severely and 79% of moderately symptomatic patients experienced improvement; however, a statistically significant improvement in indices of quality of life occurred only among patients with acute retention or severe symptoms prior to surgery. Short-term complications of varying severity occurred in 24% of patients; in addition, 4% reported persistent incontinence and 5%, impotence. Patients with similar symptoms reported considerable difference in the degree to which they were bothered by their symptoms. The result emphasizes the importance of patient participation in the decision to undergo prostatectomy.