膀胱重量与前列腺增生临床参数的相关性研究  

Correlation of bladder weight with the clinical parameters in BPH patients

作　　者：陈鸿杰 杨宁刚 张居杰 王军 张项军 张骏 于新宁 张殿庭 

机构地区：[1]兰州市第一人民医院泌尿外科,甘肃730050

出　　处：《国际泌尿系统杂志》2010年第1期1-3,共3页International Journal of Urology and Nephrology

摘　　要：目的探讨膀胱重量（Bw）与常用BPH临床参数的相关性。方法81例BPH患者分为尿潴留与非尿潴留组，经腹B超（TAUS）测量其BW，将BW与年龄、国际前列腺症状评分（I—PSS）、生活质量评分（QOL）、前列腺体积（PV）、排尿后残余尿（PVR）、最大尿流率（Qmax）和前列腺特异抗原（PSA）进行相关分析。结果81例患者年龄平均（71．73±5．80）岁，IPSS（15．89±3．44）分，QOL（3．88±0．93）分，PV（61．55±19．67）m1．PVR（71．11±30．83）ml，Qmax（9．93±2．74）ml／s，PSA（3．30±2．63）rig／ml，BW（75．85±18．45）g；两组间年龄、QOL、PV、PRV、Qmax、PSA和BW存在显著性差异，而I—PSS差异无显著性；BW与年龄、IPSS、QOL、PV、PRV、PSA呈显著正相关，相关系数分别为（r=0．587，r=0．481，r=0．816，r=0．911，r=0．784，r=0．864，P〈0．001），而与Qmax呈显著负相关（r=-0．769，p〈0．001）。结论BW能反映BPH的严重程度，对指导判断BPH严重程度和外科干预时机可能有重要的临床意义。Objectives To study the correlation of bladder weight （BW） with the clinical parameters in BPH patients. Methods 81 BPH patients were devided into two groups. The BW of 81 patients was measured by transabdominal ultrasound（TAUS） and the clinical parameters were obtained, then compared the correlation of BW with the clinical parameters [ including the age of patients, the international prostatic symptom score （ I - PSS ） , the prostatic volume（PV） , the postvoid residual urine volume （PVR） , Qmax, and prostate specific antigen （PSA） ]. He- suits In all patients, the mean age,IPSS, QOL,PV,PVR,Qmax,PSA and BW was （71.73 ±5.80） ,IPSS（ 15. 89 ±3.44） ,QOL（3.88 ±0.93） ,PV（61.55 ± 19.67） ml,PVR（71. 11 ±30.83） ml,Qmax（9.93 ±2.74） mils, PSA （ 3.30 ± 2.63 ） ng/ml, BW （75.85 ± 18.45 ） g respectively ; Between patients with and without urinary retention, the age, QOL,PV, PVR, Qmax, PSA and BW was significant difference, but IPSS was no significant difference. The BW was correlated significantly with age, IPSS, QOL, PV, PVR and PSA, r was 0. 587,0. 481,0. 816,0. 911,0. 784,0. 864 respectively（ p 〈0. 001 ） ;then BW was correlated significantly with Qmax（ r = -0. 769, p 〈 0. 001 ）. Conclusions The BW can reflecting the presence and severity of bladder outlet obstruction. The BW assessed by TAUS has important clinical signifieances to determine the severity of BPH and occasion of surgical intervention.

关 键 词：前列腺增生 膀胱 

分 类 号：R697.3[医药卫生—泌尿科学]