CAJ | 학술논문

目的探讨膀胱重量(BW)与常用BPH临床参数的相关性.方法 81例BPH患者分为尿潴留与非尿潴留组,经腹B超(TAUS)测量其BW,将BW与年龄、国际前列腺症状评分(I-PSS)、生活质量评分(QOL)、前列腺体积(PV)、排尿后残余尿(PVR)、最大尿流率(Qmax)和前列腺特异抗原(PSA)进行相关分析.结果 81例患者年龄平均(71.73±5.80)岁,IPSS(15.89±3.44)分,QOL(3.88±0.93)分,PV(61.55±19.67)ml,PVR(71.11±30.83)ml,Qmarx(9.93±2.74)ml/s,PSA(3.30 4±2.63)ng/ml,BW(75.85±18.45)g;两组间年龄、QOL、PV、PRV、Qmax、PSA和BW存在显著性差异,而I-PSS差异无显著性;BW与年龄、IPSS、QOL、PV、PRV、PSA呈显著正相关,相关系数分别为(r=0.587,r=0.481,r=0.816,r=0.911,r=0.784,r=0.864,P＜0.001),而与Qnax呈显著负相关(r=-0.769,P＜0.001).结论 BW能反映BPH的严重程度,对指导判断BPH严重程度和外科干预时机可能有重要的临床意义.
목적 탐토방광중량(BW)여상용BPH림상삼수적상관성.방법 81례BPH환자분위뇨저류여비뇨저류조,경복B초(TAUS)측량기BW,장BW여년령、국제전렬선증상평분(I-PSS)、생활질량평분(QOL)、전렬선체적(PV)、배뇨후잔여뇨(PVR)、최대뇨류솔(Qmax)화전렬선특이항원(PSA)진행상관분석.결과 81례환자년령평균(71.73±5.80)세,IPSS(15.89±3.44)분,QOL(3.88±0.93)분,PV(61.55±19.67)ml,PVR(71.11±30.83)ml,Qmarx(9.93±2.74)ml/s,PSA(3.30 4±2.63)ng/ml,BW(75.85±18.45)g;량조간년령、QOL、PV、PRV、Qmax、PSA화BW존재현저성차이,이I-PSS차이무현저성;BW여년령、IPSS、QOL、PV、PRV、PSA정현저정상관,상관계수분별위(r=0.587,r=0.481,r=0.816,r=0.911,r=0.784,r=0.864,P＜0.001),이여Qnax정현저부상관(r=-0.769,P＜0.001).결론 BW능반영BPH적엄중정도,대지도판단BPH엄중정도화외과간예시궤가능유중요적림상의의.
Objectives To study the correlation of bladder weight(BW)with the clinical parameters in BPH patients.Methods 81 BPH patients were derided into two groups.The BW of 81 patients wss measured by transabdominal ultrasound(TAUS)and the clinical parameters were obtained,then comped the conrelation of BW with the clinical parameters[including the age of patients,the international prostatic symptom score(I-PSS),the prostatic volume(PV),the postvoid residual urine volume(PVR),Qmax,and prostate specific antigen(PSA)].Resuits In all patients,the mean age,IPSS,QOL,PV,PVR,Qmax,PSA and BW was(71.73±5.80),IPSS(15.89±3.44),QOL(3.88 4±0.93),PV(61.55±19.67)ml,PVR(71.11±30.83)ml,Qmax(9.93±2.74)ml/s,PSA(3.30±2.63)ng/ml,BW(75.85±18.45)g respectively;Between patients with and without urirmry retention,the age,QOL.PV,PVB,Qmax,PSA and BW was significant difference,but IPSS was no significant difference.The BW was corrdated significantly with age,IPSS,QOL,PV,PVR and PSA,r was 0.587,0.481,0.816,0.911,0.784,0.864 respectively(P＜0.001);then BW wss correlated significantly with Qmax(r=-0.769,P＜0.001).Conclusions The BW can reflecting the presence and severity of bladder oudet obstruction.The BW assessed by TAUS has important clinical significances to determine the severity of BPH and occasion of surgical intervention.