摘要
目的探讨组织学前列腺炎（histological prostatitis，HP）与良性前列腺增生（BPH）患者临床特点的相关性。方法BPH患者168例，根据伴或不伴HP分为HP组（n=96）和非HP组（n=72）。比较分析两组患者年龄、前列腺体积、PSA、PSAD、国际前列腺症状评分（IPPS）、术前合并尿路感染和急性尿潴留情况的差异。结果非HP组和HP组平均年龄、前列腺体积、PSA、PSAD、IPPS、术前合并尿路感染和急性尿潴留情况分别为（68．9±6．9）与（71．7＋7．1）岁、（60．1±31．5）与（70．54-30．7）ml、（5．82±4．4）与（7．59±5．9）ng／ml、（0．105±0．084）与（0．111±0．079）、（17．2±3．4）与（20．9±3．7）、27．8％（20／72）与30．2％（29／96）、25．0％（18／72）与40．6％（39／96）。两组患者年龄、前列腺体积、PSA、IPPS、术前合并急性尿潴留情况比较，差异均有统计学意义。PSAD和术前合并尿路感染情况比较，两组差异无统计学意义。结论HP的发生与尿路感染无关，但与患者年龄、前列腺体积相关；合并HP会加重BPH患者尿路症状，并增加出现急性尿潴留的风险；对BPH合并HP患者血清PSAD较PSA更具特异性,并增加出现急性尿潴留的风险。
Objective To investigate the correlation of clinical charasterics between histological prostatitis （HP） and benign prostatic hyperplasia （BPH）. Methods 168 cases of BPH with or without HP were divided into the HP group （n=96） and non-HP group （n=72）. The difference of age, prostate volume, PSA, PSAD, IPPS, preoperative urinary tract infections and acute urinary retention, between the two groups were analyzed. Results In the non-HP group and HP group, the average age, prostate volume, PSA,, IPPS, preoperative urinary tract infections and acute urinary retention conditions were （68.9±6.9） and （71.7±7. lyears）, （60.1＋31.5） and （70.5±30.7） ml, （5.82±4.4） and （7.59±5.9） ng / ml, （0.105±0.084） and （0.111±0.079）, （17.2±3.4） and （20.9±3.7）, 27.8% and 30.2%, 25.0%and40.6%, respectively. The difference of age, prostate volume, PSA, IPPS, and acute urinary retentions between the two groups were statistically different. There was no significant difference in PSAD and preoperative urinary tract infections between the two groups. Conclusion The occurrence of HP isn＇t related to urinary tract infections, but to the age and prostate volume. Concurrent HP may induce the urinary symptoms of BPH and increase the risk of acute urinary retention. In BPH with HP serum PSAD is more specific than PSA.
出处
《中国男科学杂志》
CAS
CSCD
2011年第12期23-25,共3页
Chinese Journal of Andrology
关键词
前列腺炎
前列腺增生
prostatitis
prostatic hyperplasia
