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
2013年
1期
20-23
,共4页
余凯远%陈映鹤%祁旦巳%王谦
餘凱遠%陳映鶴%祁旦巳%王謙
여개원%진영학%기단사%왕겸
良性前列腺增生%前列腺炎%膀胱过度活动症%逼尿肌过度活动
良性前列腺增生%前列腺炎%膀胱過度活動癥%逼尿肌過度活動
량성전렬선증생%전렬선염%방광과도활동증%핍뇨기과도활동
Benign prostatic hyperplasia%prostatitis%overactive bladder%detrusor overactivity
目的:分析前列腺炎对前列腺增生伴随膀胱过度活动症的影响.方法:260例前列腺增生症患者按前列腺炎程度分为无炎症、轻度炎症、中度炎症、重度炎症4组,比较患者尿动力学指标及膀胱过度活动症发生的差异.结果:随着前列腺炎症程度的加重,IPSS评分、前列腺体积增加,初感容量及强烈尿意容量减少(P<0.05).随着前列腺炎症程度的增加膀胱过度活动症发生率也随之增加,发生率由无炎症组42.30%上升到重度炎症组70.37%(P=0.003),前列腺炎症程度与逼尿肌过度活动无相关性关系(P=0.066).结论:前列腺增生患者前列腺炎症程度与膀胱过度活动症具有相关性,前列腺炎症程度越重,膀胱过度活动发生比率越高.
目的:分析前列腺炎對前列腺增生伴隨膀胱過度活動癥的影響.方法:260例前列腺增生癥患者按前列腺炎程度分為無炎癥、輕度炎癥、中度炎癥、重度炎癥4組,比較患者尿動力學指標及膀胱過度活動癥髮生的差異.結果:隨著前列腺炎癥程度的加重,IPSS評分、前列腺體積增加,初感容量及彊烈尿意容量減少(P<0.05).隨著前列腺炎癥程度的增加膀胱過度活動癥髮生率也隨之增加,髮生率由無炎癥組42.30%上升到重度炎癥組70.37%(P=0.003),前列腺炎癥程度與逼尿肌過度活動無相關性關繫(P=0.066).結論:前列腺增生患者前列腺炎癥程度與膀胱過度活動癥具有相關性,前列腺炎癥程度越重,膀胱過度活動髮生比率越高.
목적:분석전렬선염대전렬선증생반수방광과도활동증적영향.방법:260례전렬선증생증환자안전렬선염정도분위무염증、경도염증、중도염증、중도염증4조,비교환자뇨동역학지표급방광과도활동증발생적차이.결과:수착전렬선염증정도적가중,IPSS평분、전렬선체적증가,초감용량급강렬뇨의용량감소(P<0.05).수착전렬선염증정도적증가방광과도활동증발생솔야수지증가,발생솔유무염증조42.30%상승도중도염증조70.37%(P=0.003),전렬선염증정도여핍뇨기과도활동무상관성관계(P=0.066).결론:전렬선증생환자전렬선염증정도여방광과도활동증구유상관성,전렬선염증정도월중,방광과도활동발생비솔월고.
Objective To investigate the influence of prostate inflammation on overactive bladder in pa?tients with benign prostatic hyperplasia. Methods Prostate inflammation was assessed as none, mild, moderate, or severe. According to the degree of pros? tatic inflammation , 260 patients with a pathologic diagnosis of BPH were divided into four groups. The differenc?es between urodynamic results and the prevalence of OAB of four groups were retrospectively analyzed. Results The degree of prostate inflammation rose with increasing International Prostate Symptom Score (IPSS) and pros?tate size,with decreasing first desire bladder volume and urgent desire bladder volume(P<0.05).The prevalence of OAB rose continuously with increasing degree of prostatic inflammation, ranging from 42.30% in none inflam?mation group to 70.37% in severe inflammation group (P=0.003).Statistically no significant correlation was found between the degree of prostatic inflammation and the prevalence of detrusor overactivity(P=0.066). Conclusion The degree of prostatitis inflammation was found to be positively correlated with the prevalence of overactive bladder in patients with benign prostatic hyperplasia. The prevalence of OAB rose continuously with increasing degree of prostate inflammation.