最大自由尿流率和残余尿在良性前列腺增生评估中的临床意义  

Clinical significance of Qmax and residual urine in benign prostatic hyperplasia

作　　者：高宏飞[1] 王东文[1] 曹晓明[1] 

机构地区：[1]山西医科大学第一医院泌尿外科,太原030001

出　　处：《中华泌尿外科杂志》2013年第8期579-581,共3页Chinese Journal of Urology

基　　金：山西省回国留学人员科研资助项目（2007-47）;山西省青年科技研究基金（2012021034-1）

摘　　要：目的探讨最大自由尿流率和残余尿量测定在评估良性前列腺增生（BPH）所致膀胱出口梗阻对膀胱排尿功能影响中的价值。方法回顾性选取2012年6—12月61例BPH患者作为BPH组，20例健康体检者作为对照组。对两组受试者分别用最大自由尿流率和残余尿量来评估膀胱排尿功能，并对BPH组患者的最大自由尿流率和残余尿量进行相关性分析。结果BPH组最大自由尿流率中位数（四分位数间距）为8（7）ml／s，对照组为21（4）ml／s，组间比较差异有统计学意义（u=-6．090，P=0．007）。BPH组残余尿量中位数（四分位数间距）为60（90）m1，对照组为9（4）ml，组间比较差异有统计学意义（u=-6．718，P=O．005）。BPH组最大自由尿流率与残余尿量之间存在负相关（r=-0．366，P=0．009）。结论利用最大自由尿流率和残余尿量来判断BPH所致膀胱出口梗阻对膀胱排尿功能的影响程度，具有重要的临床价值。Objective To investigate the significance of Qmax and residual urine in evaluation of bladder function in the patients with benign prostatic hyperplasia （BPH）. Methods The clinical data of 61 patients with BPH and 20 healthy persons in control group were evaluated. Bladder function, uroflowmetry and ultrasonic residual urine measurement were performed in the 2 groups. The correlation between Q max and residual urine in BPH group was investigated. Results There was significant difference in Q between the BPH group and control group （8 vs. 21 ml/s, u=-6.090, P=0.007）. There was significant difference in residual urine between the 2 groups （60 vs. 9 ml, u=-6.718, P=0.005）. And there was a negtive corre- lation between residual urine and Qmax in BPH group （r=-0.366, P=0.009）. Conclusion It is useful to measure the Q max and residual urine in evaluation of bladder function affected by bladder outlet obstruction caused by BPH.

关 键 词：前列腺增生 膀胱出口梗阻 最大尿流率 残余尿 膀胱重构 

分 类 号：R697.3[医药卫生—泌尿科学]