中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
12期
9-10
,共2页
良性前列腺增生%前列腺体积%PSA
良性前列腺增生%前列腺體積%PSA
량성전렬선증생%전렬선체적%PSA
BPH%Prostate volume%PSA
目的：探讨良性前列腺增生（BPH）患者的年龄、前列腺体积、血清前列腺特异性抗原（PSA）之间的关系。方法回顾性分析220例BPH人员资料，分析年龄、前列腺体积、血清PSA的关系。结果220例查体人员中，50~59岁组、60~69岁组、70~79岁组、＞80岁组患者前列腺体积分别为（44.0±26.13）mL、（56.9±34.25）mL、（57.1±29.11）mL、（84.9±57.35）mL，血清PSA值分别为（7.33±5.35）μg/L、（6.77±4.55）μg/L、（6.38±5.66）μg/L、（11.89±10.56）μg/L，前列腺体积及PSA值均与年龄呈显著正相关（r=0.19, P＜0.01；r=0.21，P＜0.01），血清PSA值与前列腺体积呈显著正相关（r=0.18，P<0.01），对年龄因素进行控制后，前列腺体积＜30 mL组、30~49 mL 组、50~99 mL 组、≥100 mL 组患者 PSA 值分别为（3.92±2.77）μg/L、（4.72±3.77）μg/L、（9.23±8.51）μg/L、（11.60±8.43）μg/L，血清PSA与前列腺体积呈显著正相关（r=0.31，P<0.01）。结论良性前列腺增生患者血清PSA值与前列腺体积、年龄呈正相关，对于血清PSA轻度升高的BPH患者，应同时结合患者年龄、前列腺体积大小及相关临床症状体征给出准确诊断。
目的：探討良性前列腺增生（BPH）患者的年齡、前列腺體積、血清前列腺特異性抗原（PSA）之間的關繫。方法迴顧性分析220例BPH人員資料，分析年齡、前列腺體積、血清PSA的關繫。結果220例查體人員中，50~59歲組、60~69歲組、70~79歲組、＞80歲組患者前列腺體積分彆為（44.0±26.13）mL、（56.9±34.25）mL、（57.1±29.11）mL、（84.9±57.35）mL，血清PSA值分彆為（7.33±5.35）μg/L、（6.77±4.55）μg/L、（6.38±5.66）μg/L、（11.89±10.56）μg/L，前列腺體積及PSA值均與年齡呈顯著正相關（r=0.19, P＜0.01；r=0.21，P＜0.01），血清PSA值與前列腺體積呈顯著正相關（r=0.18，P<0.01），對年齡因素進行控製後，前列腺體積＜30 mL組、30~49 mL 組、50~99 mL 組、≥100 mL 組患者 PSA 值分彆為（3.92±2.77）μg/L、（4.72±3.77）μg/L、（9.23±8.51）μg/L、（11.60±8.43）μg/L，血清PSA與前列腺體積呈顯著正相關（r=0.31，P<0.01）。結論良性前列腺增生患者血清PSA值與前列腺體積、年齡呈正相關，對于血清PSA輕度升高的BPH患者，應同時結閤患者年齡、前列腺體積大小及相關臨床癥狀體徵給齣準確診斷。
목적：탐토량성전렬선증생（BPH）환자적년령、전렬선체적、혈청전렬선특이성항원（PSA）지간적관계。방법회고성분석220례BPH인원자료，분석년령、전렬선체적、혈청PSA적관계。결과220례사체인원중，50~59세조、60~69세조、70~79세조、＞80세조환자전렬선체적분별위（44.0±26.13）mL、（56.9±34.25）mL、（57.1±29.11）mL、（84.9±57.35）mL，혈청PSA치분별위（7.33±5.35）μg/L、（6.77±4.55）μg/L、（6.38±5.66）μg/L、（11.89±10.56）μg/L，전렬선체적급PSA치균여년령정현저정상관（r=0.19, P＜0.01；r=0.21，P＜0.01），혈청PSA치여전렬선체적정현저정상관（r=0.18，P<0.01），대년령인소진행공제후，전렬선체적＜30 mL조、30~49 mL 조、50~99 mL 조、≥100 mL 조환자 PSA 치분별위（3.92±2.77）μg/L、（4.72±3.77）μg/L、（9.23±8.51）μg/L、（11.60±8.43）μg/L，혈청PSA여전렬선체적정현저정상관（r=0.31，P<0.01）。결론량성전렬선증생환자혈청PSA치여전렬선체적、년령정정상관，대우혈청PSA경도승고적BPH환자，응동시결합환자년령、전렬선체적대소급상관림상증상체정급출준학진단。
Objective To discuss the relationship between age, prostate volume and serum prostate specific antigen (PSA) of the patients with BPH. Methods The clinical data of 220 patients with BPH were retrospective analyzed, and the relationship between the age, prostate volume and serum PSA was analyzed. Results In the 220 patients, the prostate volume was (44.0±26.13)mL, (56.9±34.25)mL,(57.1±29.11)mL,(84.9±57.35)mL in 50~59 years old group, 60~69 years old group, 70~79 years old group, and>80 years old group, respectively;Serum PSA was(7.33±5.35)μg/L,(6.77±4.55)μg/L,(6.38±5.66)μg/L, and(11.89±10.56)μg/L in 50~59 years old group, 60~69 years old group, 70~79 years old group, and >80 years old group; Prostate volume and serum PSA was significantly and positively correlated with the age of the patients (r=0.19, P<0.01;r=0.21,P<0.01); Serum PSA and prostate volume showed a significant positive correlation (r=0.18,P<0.01); After controlling the age factor, serum PSA was (3.92±2.77)μg/L,(4.72±3.77)μg/L,(9.23±8.51)μg/L,(11.60±8.43)μg/L in prostate volume<30 ml group, 30~49 mL group, 50~99 mL group, and≥100 mL group, the serum PSA had significant positive correlation with prostate volume (r=0.31,P<0.01). Conclusion There are significantly positively correlations between serum PSA, prostate volume, and age in BPH patients. For BPH patients with mildly elevated serum PSA, we should make an accurate diagnosis combined with patient's age, prostate volume, clinical symptoms and signs.
