期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

良性前列腺增生症患者前列腺体积参数与尿动力学的相关性研究 被引量：4

Relationship between volume parameters of prostate and urodynamics in patients with benign prostatic hyperplasia
原文传递
导出
摘要 目的探讨良性前列腺增生(BPH)患者前列腺体积参数与尿动力学检查结果的相关性,评价各体积参数对膀胱出口梗阻的诊断价值。方法回顾分析48例BPH患者的临床资料,术前行经直肠前列腺彩色超声及尿动力学检查,测量前列腺总体积(TPV)、前列腺移行区体积(TZV),计算移行区指数(TZI),行尿流率、压力-流率测定,利用直线相关分析以及单因素方差分析探讨前列腺体积参数与尿动力学检查结果的相关性。结果患者平均年龄(77.53±7.65)岁。TPV与TZV的相关系数为0.93,P<0.01;TPV与TZI的相关系数为0.36,P<0.05;TZV与TZI的相关系数为0.65,P<0.01。TPV、TZV、TZI与最大尿流率(Qmax)的相关系数分别为-0.06、-0.35、-0.32(P>0.05,<0.05,<0.05)。TPV、TZV、TZI与梗阻系数(AG)的相关系数为0.25、0.29、0.33(P>0.05,<0.05,<0.05)。40ml≤TZV<60ml时,TZV与AG成正相关(r=0.29,P<0.05)。结论TZV、TZI均影响膀胱出口梗阻(BOO)的程度,TZI对BOO的影响大于TZV,可作为临床评估BPH对排尿影响的重要参数。 Objective To investigate the relationship between volume parameters of prostate and urodynamics, and to explore the diagnostic value of volume parameters of prostate for bladder outlet obstruction （BOO） in patients with benign prostatic hyperplasia （BPH）. Methods A total of 48 patients with BPH had been tested by transrectal ultrasound and urodynamies from January 2004 to December 2007. Bivariate correlations and One-Way ANOVA were used to calculate the correlation between volume parameters of prostate and results of urodynamics. Results The relative coefficients between total prostate volume（TPV） and transition zone volume（TZV） was 0.93（P 〈 0.01）. The relative coefficients between transition zone index（TZI） and TZV was 0.65（P 〈 0.01）. The relative coefficients between TPV and TZI was 0.36 （P 〈0.05）. The relative coefficients between TPV,TZV,TZI and Qmax were -0.06,-0.35 and -0.32 （P 〉 0.05, 〈 0.05, 〈 0.05）. The relative coefficients between TPV,TZV,TZI and AG number were 0,25,0.29 and 0.33 respectively （P 〉 0.05, 〈 0.05, 〈 0.05）. Positive correlation was found between TZV and AG number （r = 0.29,P 〈 0.05） when 40 ml≤TZV〈60ml. Conclusions The volume parameters of prostate such as TZV and TZI, rather than TPV, can predict the BOO and its severity of BPH patients. According to relative coefficlents,the TZI correlates more than TZV. We should pay more attention to TZI when treating BPH.
作者 张进生 李小宝 刘宁 渠渊 张前 吴宗山 柴军 刘春林
机构地区 首都医科大学附属复兴医院泌尿外科 山西阳泉煤业集团总医院
出处 《北京医学》 CAS 2010年第1期22-24,共3页 Beijing Medical Journal
关键词 前列腺增生 体积 移行区指数 尿流动力学 Prostatic hyperplasia Volume Transition zone index Urodynamies
分类号 R697.3 [医药卫生—泌尿科学]
  • 相关文献

参考文献10

  • 1McNeal JE.The prostate gland :morphology and pathology. Monogr Urol, 1988,9:36-42.
  • 2Kiptoon DK, Magoha GA, Owillah FA. Early postoperative outcomes of patients undergoing prostateetomy for benign prostatic hyperplasia at Kenyatta National Hospital, Nairobi.East Afr Med J, 2007, 84 (9 Supp 1) : S40-S44.
  • 3Marks LS, Roehrborn CG, Wolford E, et al. The effect of dutas teride an the peripheral and transition zones of the prostate and the value of the transition zone index in predicting treatment response. J Urol, 2007, 177: 1408-1413.
  • 4刘跃新,陈山,张光银,毕维棋,郑宇朋,乔庐东,张波.前列腺体积与移行带体积变化的年龄差异[J].中华泌尿外科杂志,2002,23(8):477-479. 被引量：9
  • 5Roehrborn CG. BPH progression: concept and key learning from MTOPS, ALTESS, COMBAT, and ALF2ONE. BJU Int, 2008, 101 (Suppl 3): 17-21.
  • 6Terris MK, Afzal N, Kabalin JN. Correlation of transrectal ultrasound measurement of prostate and transition zone size with symptom score , bother score , urinary flow rate , and postvoid residual volume. Urology, 1998,52: 462-466.
  • 7Lepor H, Nieder A, Feser J, et al.Total prostate and transition zone volume ,and transition zone index are poorly correlated with objective measures of clinical benign prostatic hyperplasia. J Urol, 1997,158: 85-88.
  • 8华立新,吴宏飞,眭元庚,程双管,钱立新.移行区指数预测良性前列腺增生的临床意义[J].中华泌尿外科杂志,2003,24(1):59-59. 被引量：2
  • 9李涛,谢克基,汤平,姜少军,曾健文,潘朝杰.良性前列腺增生膀胱出口梗阻的评估[J].国际泌尿系统杂志,2007,27(3):297-299. 被引量：6
  • 10魏东,苏洪学,伍建业,许进,万奔,那彦群.前列腺移行区体积和移行区指数在诊断良性前列腺增生中的作用[J].临床泌尿外科杂志,2002,17(12):653-655. 被引量：4

二级参考文献14

  • 1顾方六,山岗志,王通生,薛兆英.北京城乡良性前列腺增生发病的差异[J].中华泌尿外科杂志,1995,16(7):387-390. 被引量：61
  • 2[1]McNeal J E. The prostate gland: morphology and pathobiology. Monoger Urol, 1988, 9:36-39.
  • 3[2]Steven A K, Alexis E T, Lee B P, et al. Transition zone index as a method of assessing benign prostatic hyperplasia: correlation with symptoms, urine flow and detrusor pressure. J Urol, 1995, 154:1764-1769.
  • 4[3]Terris M K, Afzal N, Kabalin J N, et al. Correlation of transrectal ultrasound measurement of prostate and transition zone size with symptom score, bother score,urinary flow rate, and post-void residual volume. Urology, 1998, 52:462-466.
  • 5[4]Greene D R, Egawa S, Hellerstein ,et al. Sonographic measurments of transition zone of prostate in men with and without benign prostatic hyperplasia. Urology,1990, 51:293-299.
  • 6[5]Bergdahl S, Aus G, Loding P, et al. Transrectal ultrasound with separate measurement of the transition zone volume predicts the short-term outcome after transurethral resection of the prostate. Urology, 1999, 53:926-930.
  • 7[6]Ashutosh T, Katsuto S, Perinchery N. Transition zone vloume and transition zone ratio: prdeictor of uroflow response to finasteride therapy in benign prostatic hyperplasia patients. Adult Urol, 1994, 45:258-264.
  • 8Garraway WM, Collins GN, Lee RJ. Garraway High prevalence of benign prostatic hypertrophy in the community. J Lancet, 1991,24 ; 338( 8765 ) :469 - 71.
  • 9McNeal JE. The prostate gland: Mprphology and pathobiology. J Monogr Urol, 1988,9(3) :36.
  • 10Nielsen KK, Nording J, Hald T. Critical review of the diagnosis of prostatic obstruction. J Neurourol Urodyn, 1994,13(3) :201 -217.

共引文献17

同被引文献28

引证文献4

二级引证文献12

北京医学
2010年 第1期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部