中国中西医结合外科杂志
中國中西醫結閤外科雜誌
중국중서의결합외과잡지
CHINESE JOURNAL OF SURGERY OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2014年
1期
18-20
,共3页
庞然%高筱松%卢建新%李理%杨志强
龐然%高篠鬆%盧建新%李理%楊誌彊
방연%고소송%로건신%리리%양지강
前列腺增生%前列腺炎%逼尿肌过度活动%储尿期症状
前列腺增生%前列腺炎%逼尿肌過度活動%儲尿期癥狀
전렬선증생%전렬선염%핍뇨기과도활동%저뇨기증상
Benign prostatic hyperplasia%histological prostatitis%detrusor overactivity%storage lower urinary tract symptoms
目的：探讨前列腺增生（BPH）合并组织学前列腺炎（HP）患者的临床及尿动力学特征。方法：将189例BPH接受经尿道逆行前列腺电切术治疗的患者，依据病理诊断分为单纯BPH组和BPH合并HP组，在匹配年龄、体重指数和前列腺体积后，每组38例；比较两组国际前列腺症状评分（IPSS)、最大尿流率、最大膀胱容量、残余尿量、最大逼尿肌压力和最大尿道压力等尿动力学指标，以及膀胱逼尿肌过度活动发生率间的差异。结果：与单纯BPH组相比，BPH合并HP组具有更高的IPSS总分和IPSS储尿期评分（P＜0.05)，较小的最大膀胱容量（P＜0.001)和更高的膀胱逼尿肌过度活动的发生率（P＜0.05)。结论：合并HP会加重BPH患者的储尿期症状，导致尿动力学中最大膀胱容量的降低和逼尿肌过度活动的发生。
目的：探討前列腺增生（BPH）閤併組織學前列腺炎（HP）患者的臨床及尿動力學特徵。方法：將189例BPH接受經尿道逆行前列腺電切術治療的患者，依據病理診斷分為單純BPH組和BPH閤併HP組，在匹配年齡、體重指數和前列腺體積後，每組38例；比較兩組國際前列腺癥狀評分（IPSS)、最大尿流率、最大膀胱容量、殘餘尿量、最大逼尿肌壓力和最大尿道壓力等尿動力學指標，以及膀胱逼尿肌過度活動髮生率間的差異。結果：與單純BPH組相比，BPH閤併HP組具有更高的IPSS總分和IPSS儲尿期評分（P＜0.05)，較小的最大膀胱容量（P＜0.001)和更高的膀胱逼尿肌過度活動的髮生率（P＜0.05)。結論：閤併HP會加重BPH患者的儲尿期癥狀，導緻尿動力學中最大膀胱容量的降低和逼尿肌過度活動的髮生。
목적：탐토전렬선증생（BPH）합병조직학전렬선염（HP）환자적림상급뇨동역학특정。방법：장189례BPH접수경뇨도역행전렬선전절술치료적환자，의거병리진단분위단순BPH조화BPH합병HP조，재필배년령、체중지수화전렬선체적후，매조38례；비교량조국제전렬선증상평분（IPSS)、최대뇨류솔、최대방광용량、잔여뇨량、최대핍뇨기압력화최대뇨도압력등뇨동역학지표，이급방광핍뇨기과도활동발생솔간적차이。결과：여단순BPH조상비，BPH합병HP조구유경고적IPSS총분화IPSS저뇨기평분（P＜0.05)，교소적최대방광용량（P＜0.001)화경고적방광핍뇨기과도활동적발생솔（P＜0.05)。결론：합병HP회가중BPH환자적저뇨기증상，도치뇨동역학중최대방광용량적강저화핍뇨기과도활동적발생。
Objective To investigate the clinical and urodynamic characteristics in patients with benign prostatic hyperplasia (BPH) combined with histological prostatitis (HP). Methods One hundred and 89 pa-tients underwent transurethral retrograde prostatectomy (TURP) due to BPH in Guang'an Men Hospital were ret-rospectively reviewed and divided into two groups, BPH group and BPH with HP group, based on pathological characteristics of tissue samples. After matching age, body mass index and prostate volume, each group had 38 cases. The International prostate symptom score (IP-SS) and urodynamic features including maximum urine flow, maximum cystometric capacity, maximum urethral pressure, maximum detrusor pressure and post-void residual urine volume were compared between the two groups. Moreover, the proportions of patients with involuntary detrusor contractions were analyzed in both groups. Results Patients in BPH with HP group presented significant higher IPSS total scores, IPSS storage sub-scores and lower maximum cystometric capacity than the counterparts in BPH group. Patients in BPH with HP group showed a higher proportion on occurrence of involuntary detrusor contraction than that on the other group (P<0.05). Conclusion The occurrence of HP is associated with severer storage lower urinary tract symptoms, lower maximum cystometric capacity and higher proportion of detrusor overactivity in patients with BPH.
