前列腺增生症相关参数术前评估价值的临床研究  

Clinical research into evaluation of preoperative parameters related to prostatic hyperplasia

作　　者：张立刚[1] 孙爱梅[2] 张召凤 高佃军[4] 许孝新[1] 马玉生[1] 焦念辉[1] 李伟光[1] 

机构地区：[1]山东省临朐县人民医院泌尿外科,临朐262600 [2]临朐县人民医院药剂科 [3]临朐县中医院内科 [4]潍坊医学院附属医院泌尿外科

出　　处：《中国男科学杂志》2012年第2期23-25,共3页Chinese Journal of Andrology

摘　　要：目的探讨国际前列腺症状评分（IPSS）、剩余尿（PVR）和最大尿流率（Qmax）等指标对良性前列腺增生（BPH）术前评估的临床价值。方法符合国际良性前列腺增生咨询委员会（ICC-BPH）纳入、排除标准的50岁以上男性病人86例，平均年龄67．9岁，诊断为BPH，均行经尿道前列腺电切术治疗。术前全部病人获得症状评分和生活质量评估（QOL），全部病人测得PVR和Qmax。根据术后疗效，将病人分为满意组72人和不满意组14人。统计分析两组病人术前各项指标：IPSs、QOL、PVR和Qmax。结果术前两组病人IPSS、刺激症状评分、QOL、PVR相比，P〉0．05；但梗阻症状评分、Qmax两组病人相比，P〈0．01。结论本研究显示：（1）IPSS、QOL和PVR作为手术适应证的证据尚不充分，但IPSS中梗阻症状评分高者，术后疗效更为显著，可考虑作为手术治疗的指征之一。（2）BPH术前Qmax低者，术后疗效显著，满意程度高，提示该项指标对选择治疗方案有指导意义，可考虑作为手术适应证之一。Objective To study the clinical significance of the International Prostatic Symptom Score, postvoid residual volume and maximum urinary flow rate in evaluation of the preoperatve parameters of benign prostatic hyperplasia（BPH）. Methods In total 86 consecutive patients aged over 50 with minor urinary tract symptoms were enrolled in the study. They were diagnosed suffering from BPH and had received transurethral resection of the prostate. All the patients were evaluated with IPSS and QOL, PVR and Qm^x. According to the result of treatment, the 86 cases were divided into two groups： the satisfied group （SG, 72 cases） and dissatisfied group（DG, 14 cases）. All the relevant data of the two groups were statistically analyzed, including preoperative IPSS and QOL, PVR, Q Results There was no significant difference （P〉0.05） in IPSS, QOL, irritative symptom score and PVR between SG and DG. Conclusion No strong evidence supports IPSS, QOL and PVR to be the surgical indicators, but high obstructive symptom scores indicates a favorable postoperative treatment outcome. 2. Low preoperative Qmax of patients suffering from BPH might have a favorable treatment outcome. It suggests that Qmax might be an indicator for choice of surgery.

关 键 词：前列腺增生 尿动力学 

分 类 号：R697.32[医药卫生—泌尿科学]