培训课件--解读《中国良性前列腺增生症防治指南》1.pptVIP

* 外科治疗与激光治疗 外科治疗患者6周后随诊，组织学检查结果的告知，3个月后接受下列检查判断疗效。术后随访期限1年。随诊内容： 　　国际前列腺症状评分I-PSS 　　　　　推荐 尿流率检查和残余尿测定 　　　　　推荐 尿液细菌培养 　　　　　可选择 必要时重复上述检查！ 微创治疗 因治疗方式不同，疗效和并发症可能不同，建议长期随访。随访计划为接受治疗后第6周和第3个月，然后每6个月一次。 随访内容： （与上面表格相同） BPH诊治指南中随访的推荐意见（３） * 遵从医嘱，坚持用药 定期检查 不憋尿，不饮酒、咖啡及浓茶 了解自己的胆固醇水平 少吃刺激性食物 少骑自行车 安排适当的体育活动 控制情绪 患者：我平常应该注意些什么呢？ 您可以回答了么？ * 关于良性前列腺增生治疗后的随访下述正确的是 针对良性前列腺增生的各种治疗都应该进行随访 尽管治疗方式不同，但随访内容相同 BPH的治疗目标是什么？ 前列腺体积?ml，AUR发生率↑3倍？ √ 答：缩小前列腺体积；缓解症状,减轻梗阻；预防远期合并症的发生。 答：ＰＶ３０ｍｌ 思考题 * * * 预防 * * 不是病理而是解剖 * * * 补充：BPH是一种进展性的疾病，前列腺体积和PSA是疾病进展的有效预测因子。 * For over a century, there have been two known etiologic factors for the pathogenesis of BPH: aging and testicular androgens [4].Moreover family history, race/ethnicity, hypertension, non-insulindependent diabetes, obesity, body height, cigarette smoking, low HDL-C, and high insulin levels were reported to be risk factors for the development of BPH [ * From a paper published in JAMA in 2002, this slide shows the age-specific prevalence of the metabolic syndrome among 8814 US adults (at least 20 years of age) by sex (National Health and Nutrition Examination Survey III, 1988–1994). The overall prevalence in adults was 23%—more than 1 in 5. The prevalence increased with age, from under 7% in the 20–29 year age group, to over 40% among individuals 60 or older. It is estimated, using 2000 census data, that approximately 47 million US residents have the metabolic syndrome. Ford ES, Giles WH, Dietz WH. Prevalence of the metabolic syndrome among US adults. JAMA. 2002;287:356-359. * In the subgroup of men subjected to measurement of both the total prostate gland volume and the TZ volume, the correlation coefficient between total prostate gland volume and the TZ volume was r.s. =0.97 (p0.0001) which, thus, constituted the validity coefficient. * The median annual BPH growth rate was faster in men with metabolic disease (p0.0001), NIDDM (p0.0001), treated hypertension (p0.0001), obesity (p0.0001) and d