良性前列腺增生并发急性尿潴留相关因素分析  

Serum PSA and Transition Zone Index as Predictors of Acute Urinary Retention in Benign Prostate Hyperplasia

作　　者：朱绍兴[1] 陈仕平[1] 李启镛[1] 林震[1] 郑松[1] 翁明高[1] 

机构地区：[1]福建医科大学附属协和医院泌尿外科,福建福州350001

出　　处：《中华男科学杂志》2004年第1期24-25,共2页National Journal of Andrology

摘　　要：目的 :探讨血清前列腺特异抗原 (PSA)和移行带指数 (TZI)与良性前列腺增生 (BPH)并发急性尿潴留 (AUR)的关系。　方法 :回顾性分析 6 0 2例BPH患者的相关资料。　结果 :BPH并发AUR组血清PSA值为 (6 .6 0± 3.4 0 )μg/L ,TZI值为0 .71± 0 .14 ;未并发AUR组患者血清PSA值为 (3.5 1± 2 .30 ) μg/L ,TZI值为0 .4 6± 0 .2 1。两组间血清PSA和TZI值差异均有显著性 (P均 <0 .0 5 )。PSA <4 .0、4 .0～ 10 .0、>10 .0 μg/L 3组间AUR发生率进行比较 ,差异有显著性 (P均 <0 .0 5 ) ,AUR发生率随血清PSA值的增高而增高。血清PSA与TZI呈显著正相关 (r=0 .2 13,P <0 .0 1)。　结论Objective: To evaluate prostate specific antigen (PSA) and transition zone index (TZI) as predictors of acute urinary retention (AUR) in men with benign prostate hyperplasia(BPH). Methods: The complete data of 602 cases of BPH were reviewed and analyzed. Results: Mean serum PSA and TZI were ( 6.60± 3.4) μg/L and ( 0.71± 0.14) in AUR group, ( 3.51± 2.3 )μg/L and ( 0.46± 0.21) in non-AUR group, respectively. There were significant differences in serum PSA and TZI between the two groups(P< 0.05). The difference in incidence of AUR between serum PSA< 4.0 μg/L, 4.0～ 10.0 μg/L and PSA> 10.0 μg/L was significant(P< 0.05). There was significant positive correlation between serum PSA and TZI(r= 0.213, P< 0.01). Conclusion: Serum PSA and TZI were powerful predictors of the risk of AUR in men with BPH.

关 键 词：良性前列腺增生 前列腺特异抗原 移行带指数 急性尿潴留 并发症 放射免疫法 

分 类 号：R697.32[医药卫生—泌尿科学]