前列腺增生急性尿潴留患者前列腺梗塞发生的风险因素研究  

Study on risk factors of prostatic infarction in patients with benign prostatic hvperplasia complicated acute urine retention

作　　者：沈文[1,2] 邓志雄[1] 姚华强[1] 胡卫列[1,2] 邱晓拂[1,2] 李萍[1,2] 张源锋[1] 

机构地区：[1]广州军区广州总医院泌尿外科,广州510010 [2]南方医科大学研究生学院

出　　处：《中国男科学杂志》2011年第3期7-9,共3页Chinese Journal of Andrology

基　　金：广东省自然科学基金重点项目（8251001002000001）;广东省医师协会科研资助项目【粤医协（2006）123-11】

摘　　要：目的比较前列腺增生合并急性尿潴留患者与前列腺增生无急性尿潴留患者前列腺梗塞发生的高危因素。方法回顾性分析我科初诊前列腺增生合并急性尿潴留与无尿潴留患者共72例，比较两组之间空腹血脂、同型半胱氨酸和髂内动脉粥样斑块检出情况。结果尿潴留组空腹血甘油三脂、低密度脂蛋白和同型半胱氨酸水平分别为（1．95±095）mM，（3．3l±1．06）mM，（17．03±2．92）uM，明显高于对照组（1．27±0．47）mM（P〈0．001），（2．31±1．02）mM（P〈0001），（1071±256）μM（P=0001）。尿潴留组空腹血甘油三脂、低密度脂蛋白、同型半胱氨酸水平异常率及髂内动脉斑块检出率分别为5238％，57．14％，78．57％和7262％，明显高于对照组20％（P=0．011），20％（P=0．004），1333％（P〈0001），21．67％（P〈0001）。结论前列腺增生急性尿潴留患者前列腺梗塞发生的风险因素明显高于前列腺增生无急性尿潴留患者，提示前列腺增生急性尿潴留可能与前列腺梗塞存在一定的关系。Objective To compare the risk factors of prostatic infarction between in benign prostatic hyperplasia with and without acute urine retention, andexplore the relationship of prostatic infarction and benign prostatic hyperplasia with acute urine tetention. Methods clinical dataof 72 benign prostatic hyperplasia with or without acute urine retention patients were retrospectively analyzed, Some test data such as the fasting lipoid, homocysteic acid of serum and the atheromatous plaques of internal iliac artery were evaluated. Results levels of fasting serum triglyceride, lower density lipoprotein and homocysteic acid of the BPH patients with acute urine retention were significently higher than than that of the controll group （P〈0.001, P〈0.001, P=0.001, respectively）. The ratios of abnorrnal level of fasting serum triglyceride, lower density lipoprotein and homocysteic acid in BPH patients with acute urine retention were all significently higher than those in the control group （P=0.011, P=0,004, P〈0.001, respectively）. The ratio of atheromatous plaques detected m internal iliac artery was significantly higher in BPH patients with acute urine retention than that in the control group （P〈0.001）. Conclusion Risk of prostatic infarction in BPH patients with acute urine retention was significantly increased, suggesting that there existed an marked relationship between prostatic infarction and benign hyperplasia with acute urine retention.

关 键 词：前列腺增生 尿潴留 危险因素 

分 类 号：R697.3[医药卫生—泌尿科学]