组织学前列腺炎对前列腺增生患者尿动力学参数及尿潴留的影响

发布时间：2018-09-16 20:16

【摘要】：目的探讨合并组织学前列腺炎(HP)对前列腺增生患者的尿动力学参数及尿潴留的影响。方法回顾性分析98例接受经尿道前列腺等离子双极电切术治疗的良性前列腺增生(BPH)患者资料,根据病理诊断分为单纯BPH组和BPH合并HP组,比较国际前列腺症状评分(IPSS)、前列腺体积(PV)、前列腺特异性抗原(PSA)、最大尿流率、最大膀胱容量(MBC)、最大逼尿肌收缩力和膀胱出口梗阻指数(BOOI)等尿动力学指标及膀胱逼尿肌过度活动、尿潴留发生率间的差异。结果与单纯BPH组比较,BPH合并HP组具有更高的IPSS评分(P=0.020)和PSA值(P=0.009),更高的BOOI指数(P=0.003),较小的最大膀胱容量(P=0.004),更高的膀胱逼尿肌过度活动的发生率(P=0.041)和尿潴留发生率(P=0.010)。结论合并HP的BPH患者下尿路症状更重,血清PSA升高,导致MBC降低、膀胱出口梗阻加重和逼尿肌过度活动的发生等尿动力学参数改变,更易发生尿潴留。
[Abstract]:Objective to investigate the effect of (HP) combined with histologic prostatitis on urodynamic parameters and urinary retention in patients with prostatic hyperplasia. Methods the data of 98 patients with benign prostatic hyperplasia (BPH) treated by transurethral plasma bipolar resection were retrospectively analyzed. According to the pathological diagnosis, they were divided into simple BPH group and BPH combined with HP group. International prostate symptom score (IPSS), prostate volume (PV), prostate specific antigen (PSA), maximal bladder volume (MBC), maximal detrusor contractility (MBC), bladder outlet obstruction index (BOOI), and hyperactivity of bladder detrusor were compared. Differences in the incidence of urinary retention. Results compared with BPH group, the IPSS score (P0. 020) and PSA value (P0. 009), higher BOOI index (P0. 003), lower maximal bladder volume (P0. 004), higher incidence of bladder detrusor overactivity (P0. 041) and urinary retention (P0. 010) were higher in the BPH combined with HP group. Conclusion the lower urinary tract symptoms of BPH patients with HP are more serious, the serum PSA level is higher, which leads to the decrease of MBC, the increase of bladder outlet obstruction and the occurrence of detrusor hyperactivity, and the change of urodynamic parameters is more likely to occur urinary retention.
【作者单位】：莆田学院附属医院泌尿外科;莆田学院附属医院病理科;
【分类号】：R697.3

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