单纯良性前列腺增生与合并慢性前列腺炎患者临床特点分析

发布时间：2018-11-15 15:19

【摘要】：目的:探讨单纯良性前列腺增生(BPH)与合并慢性前列腺炎(CP)患者的临床特点及其意义。方法:回顾性分析2011年10月~2013年06月我院泌尿外科行经尿道前列腺等离子电切术(TURP)治疗BPH的患者236例,按照病理诊断分为单纯BPH(35例)和合并CP(201例)两组,采用SPSS 17.0软件进行统计学分析,比较两组患者在年龄、前列腺体积、最大尿流率(Qmax)、剩余尿量(RUV)、国际前列腺症状评分(IPSS)(术前及术后3个月)、生活质量评分(QOL)、是否发生急性尿潴留(AUR)、前列腺特异性抗原(PSA)、前列腺特异性抗原密度(PSAD)等指标上是否存在差异。结果:合并CP组患者在前列腺体积、RUV、IPSS、QOL、AUR发生率等方面指标高于单纯BPH组患者,Qmax低于单纯BPH组,差异有统计学意义。而在年龄及PSA、PSAD等方面指标差异无统计学意义。手术治疗后3个月两组IPSS评分均较术前明显降低,且合并CP组较单纯组评分高,差异均有统计学意义。结论:CP可能是BPH临床进展的重要因素之一,同时也可能是导致BPH患者下尿路症状(LUTS)的重要原因之一。
[Abstract]:Objective: to investigate the clinical features and significance of benign prostatic hyperplasia (BPH) and chronic prostatitis (CP). Methods: from October 2011 to June 2013, 236 patients with BPH treated by transurethral plasma resection of prostate (TURP) in our hospital were retrospectively analyzed. According to pathological diagnosis, 236 patients were divided into two groups: simple BPH group (35 cases) and combined with CP group (201 cases). SPSS 17.0 software was used to compare the age, prostate volume, maximum urinary flow rate, (Qmax), residual urine volume, (RUV), international prostatic symptom score (IPSS) () before and 3 months after operation. Quality of life score (QOL),) was different in whether acute urinary retention, (AUR), prostate specific antigen (PSA), prostate specific antigen density (PSAD), and so on. Results: the prostatic volume and the incidence of RUV,IPSS,QOL,AUR in the CP group were higher than those in the simple BPH group, and the Qmax was lower in the BPH group than in the BPH group, the difference was statistically significant. However, there was no significant difference in age and PSA,PSAD. After 3 months of operation, the IPSS scores of the two groups were significantly lower than those of the preoperative ones, and the scores of the combined CP group were higher than those of the simple group, and the differences were statistically significant. Conclusion: CP may be one of the important factors in the clinical progress of BPH, and it may also be one of the important causes of (LUTS) in patients with BPH.
【作者单位】：吉林大学中日联谊医院泌尿外科;
【分类号】：R697.3

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