运用RUPP诊断老年良性前列腺增生患者尿路梗阻的临床价值

发布时间：2018-06-15 22:51

本文选题：良性前列腺增生 + 静态尿道测压　；参考：《中国老年学杂志》2016年24期

【摘要】：目的探讨运用静态尿道测压(RUPP)评价老年良性前列腺增生(BPH)患者发生尿路梗阻的诊断价值。方法收集2013年3月至2016年3月该院泌尿科就诊60岁以上老年男性BPH患者124例尿动力学资料,依据尿动力学检查中的linRUPP图进行尿路梗阻分级,将0~2级定为无梗阻组,3~6级定为梗阻组。分别比较组间RUPP指标差异,运用受试者工作曲线(ROC)分析比较各个指标诊断尿路梗阻。结果在两组别比较中,膀胱颈压、功能曲线长度、前列腺平台面积、精阜压及前列腺长度显示有统计学差异(P0.05);而最大尿道压、最大尿道闭合压均无统计学差异(P0.05)。取诊断点值1 185.06 mm·cm H2O,以前列腺平台面积为指标时诊断效能最好;ROC曲线下面积0.893,敏感度为86.12%,特异度为100.00%,正确指数为0.887。结论可以运用RUPP方法中前列腺平台面积指标诊断老年BHP患者尿路梗阻。
[Abstract]:Objective to evaluate the diagnostic value of static urethral manometry (RUPP) in the diagnosis of urinary tract obstruction in elderly patients with benign prostatic hyperplasia (BPH). Methods 124 male BPH patients over 60 years old were collected from March 2013 to March 2016. Grade 0 and grade 2 were classified as no obstruction group and grade 3 and grade 6 as obstruction group. The Rupp index difference was compared between the two groups, and each index was analyzed and compared by using the operating curve of subjects in diagnosis of urinary obstruction. Results there were significant differences in bladder neck pressure, length of functional curve, area of prostate plateau, sputum pressure and length of prostate between the two groups (P 0.05), but there was no significant difference in maximum urethral pressure and maximum urethral closure pressure (P 0.05). When the diagnostic point value was 1 185.06 mm cm H _ 2O, the area under the ROC curve was 0.893, the sensitivity was 86.12, the specificity was 100.00000, and the correct index was 0.887 when the area of the prostate plateau was taken as the index. Conclusion the Rupp method can be used to diagnose urinary tract obstruction in elderly BHP patients.
【作者单位】：新疆医科大学第四附属医院泌尿科;
【分类号】：R697.3;R691.2

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