引用本文:黄固山,李云最,张华旦,韦辉柳,莫恩平.良性前列腺增生合并慢性前列腺炎患者的临床特点分析[J].中国临床新医学,2016,9(4):329-332.
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良性前列腺增生合并慢性前列腺炎患者的临床特点分析
黄固山,李云最,张华旦,韦辉柳,莫恩平
545900 广西,武宣县人民医院外三科
摘要:
[摘要] 目的 探讨良性前列腺增生(BPH)合并慢性前列腺炎(CP)患者的临床特点。方法 选择2010-01~2014-11该院收治96例BPH患者,均行经尿道前列腺电切术(TURP)治疗,根据术后标本病理检查结果分为BPH合并CP组(52例)和单纯BPH组(44例),比较两组患者国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)、剩余尿量等,并分析前列腺体积与CP发生之间以及IPSS与CP程度分级之间的相关性。结果 BPH合并CP组前列腺体积、QOL、剩余尿量明显高于单纯BPH组(P<0.05),而IPSS、Qmax则明显较低(P<0.05);前列腺增生体积与BPH合并CP的发生率以及IPSS与CP程度分级之间均存在正相关(P<0.05)。结论 与单纯BPH患者相比,BPH合并CP患者具有前列腺体积更大、下尿路症状更明显等特点,CP在BPH的进展中扮演重要角色。
关键词:  良性前列腺增生  慢性前列腺炎  临床分析
DOI:10.3969/j.issn.1674-3806.2016.04.18
分类号:R 697+.3
基金项目:
Clinical analysis of binign prostatic hyperplasia complicated with chronic prostatitis in 52 cases
HUANG Gu-shan, LI Yun-zui, ZHANG Hua-dan, et al.
The Third Department of Surgery, the People′s Hospital of Wuxuan County, Guangxi 545900, China
Abstract:
[Abstract] Objective To explore the clinical features of binign prostatic hyperplasia(BPH) complicated with chronic prostatitis(CP).Methods Ninety-six patients who underwent transurethrue resection of prostate(TURP) for the treatment of binign prostatic hyperplasia were collected in our hospital from January 2010 to November 2014. They were divided into BPH with CP group(n=52) and BPH group(n=44) according to the pathological diagnosis after the operation. The International Prostate Symptom Score(IPSS), quality of life(QOL) score, maximum urinary flow rate(Qmax) and residual urine volume were compared between the two groups. The relationship between prostate volume and the incidence of BPH complicated with CP and the relationship between IPSS scores and the levels of CP were analyzed.Results The prostate volume, QOL and residual urine volume in the BPH with CP group were significantly higher than those in the BPH group(P<0.05), while the IPSS scores and Qmax in the BPH with CP group were signigicantly lower than those in the BPH group(P<0.05). There were significantly positive correlations between prostate volume and CP occurred and between IPSS scores and the levels of CP(P<0.05).Conclusion Compared with the patients with simple BPH, the patients with BPH complicated with CP have greater prostate volume and more serious lower urinary tract symptoms. CP plays an important role in the development of BPH.
Key words:  Binign prostatic hyperplasia(BPH)  Chronic prostatitis(CP)  Clinical analysis