中青年男性膀胱过度活动症与Ⅲ型慢性前列腺炎的诊断重叠性研究  

Overlap of diagnosis of overactive bladder and Ⅲ chronic prostatitis in young men

作　　者：杨文俊[1] 谢克基[1] 汤平[1] 欧汝彪[1] 邓向荣[1] 王斌[1] 韦兴华[1] 

机构地区：[1]广州市第一人民医院,广州510180

出　　处：《广州医药》2015年第5期25-28,共4页Guangzhou Medical Journal

摘　　要：目的：探讨OAB与CP／CPPS的症状及诊断的重叠情况，为临床诊疗提供参考。方法151例中青年男性患者入选为研究对象，按 OAB 及 CP／CPPS 的定义及诊断标准将其分为 OAB 组、CP／CPPS 组及 OAB ＋CP／CPPS组，并对 OAB ＋CP／CPPS 组进行诊断性治疗对研究对象进行明确诊断；根据年龄分为：18～25岁组、26～35岁组和36～49岁组，比较各年龄组患者 OAB 及 CP／CPPS 的重叠情况；对各组患者的临床症状进行分析比较，了解其重叠情况。结果在151例研究对象中，可诊断为 OAB、CP／CPPS、OAB ＋CP／CPPS 的分别有62例（41.06％）、32例（21.19％）、57例（37.75％），因此 OAB 与 CP／CPPS 的诊断重叠率为37.75％，明显大于 CP／CPPS 患者的诊断率；各年龄组间诊断重叠率无差异（P ＞0.05）；症状的重叠方面，OAB ＋CP／CPPS 组有尿急、尿频、夜尿症、急迫性尿失禁、尿不尽感、排尿困难、泌尿生殖系疼痛和或不适症状的分别为57例（100.00％）、50例（87.72％）、21例（36.84％）、2例（3.51％）、12例（21.05％）、2例（3.51％）、57例（100.00％），其中，尿急、尿频及泌尿生殖系疼痛或不适症状的重叠率最高；OAB ＋CP／CPPS 组经诊断性治疗后诊断为 OAB 患者约61.40％，而 CP／CPPS 患者为38.60％。结论OAB 与 CP／CPPS 两者间有相当高的重叠率且远高于 CP／CPPS 的诊断率，在 OAB 与 CP／CPPS 两者诊断重叠的患者中为 OAB 的可能性更大。Objective To explore symptoms and diagnosis of overlap between OAB and CP/CPPS,providing reference for clinical treatment. Methods 151 cases of young men were enrolled in the study.According to the definition and diagnostic criteria of OAB and CP/CPPS,we divided the study subjects into OAB group,CP/CPPS group and OAB ＋CP/CPPS group.And OAB ＋CP/CPPS group would get a two-week diagnostic treatment to study a clear diagnosis.We also divided the subjects into 18-25 age group,26-35 year-old age group and 36-49 group according to the age,comparing the overlap of OAB and CP/CPPS in different age groups.The symptoms of the subjects in each group were analyzed to compare and study the overlap. Results A-mong these 151 cases,62 cases （41.06%）can be diagnosed as OAB,32 cases （21.19%）as CP/CPPS,57 cases （37.75%） as OAB ＋CP/CPPS.Therefore,OAB and CP/CPPS diagnostic overlap was 37.75%,significantly higher than the diagnosis of CP/CPPS patients;no significant difference （P ＆gt;0.05）among all age groups diagnostic overlap rate;overlapping terms of symp-toms,OAB ＋CP/CPPS group urgency,urinary frequency,nocturia,urgency incontinence,urine not the flu,difficulty urina-ting,or genitourinary pain and discomfort were 57 cases （100.00%）,50 cases （87.72%）,21 cases （36.84%）,2 cases （3.51%）,12 cases （21.05%）,2 cases （3.51%）,57 patients （100.00%）,which overlap ratio urgency,frequency,and genitourinary pain or discomfort was high;OAB ＋CP/CPPS group after diagnosis diagnostic treatment of OAB patients was about 61.40%,while CP/CPPS patients was 38.60%. Conclusion There is high overlap rate between OAB and CP/CPPS,which is much higher than the diagnostic rate of CP/CPPS.It is likely to have an OAB when a patient is diagnosed as OAB or CP/CPPS at the same time.

关 键 词：膀胱过度活动症 慢性前列腺炎 诊断 重叠 

分 类 号：R697.33[医药卫生—泌尿科学] R694[医药卫生—外科学]