后尿道超声形态改变与良性前列腺增生致下尿路症状发生的相关性

摘要/Abstract

摘要： 目的探讨与分析后尿道超声形态改变与良性前列腺增生致下尿路症状发生的相关性。方法选择2020年8月—2023年5月在商洛市商州区人民医院诊治的92例良性前列腺增生男性患者作为病例组,92名体检健康男性为对照组。检测病例组与对照组的后尿道超声形态的改变情况,同时对下尿路症状进行记录,并采用Spearman分析分析尿道超声形态改变与良性前列腺增生致下尿路症状的相关性。结果病例组的后尿道超声形态异常率为53.26%,对照组为5.43%,病例组的后尿道超声形态异常率显著高于对照组,差异有统计学意义（P<0.05）。病例组的膀胱出口梗阻指数、残余尿量都显著高于对照组,差异有统计学意义（P<0.05）。病例组最大尿流率明显低于对照组,差异有统计学意义（P<0.05）。在病例组中,Spearman分析显示后尿道超声形态异常与膀胱出口梗阻指数、残余尿量、最大尿流率等都存在相关性(P<0.05)。多因素logistic回归分析显示,良性前列腺增生患者后尿道超声形态异常为影响膀胱出口梗阻指数、残余尿量、最大尿流率的重要因素(P<0.05)。结论良性前列腺增生患者多表现为后尿道超声形态异常,伴随有膀胱出口梗阻指数、残余尿量、最大尿流率异常,后尿道超声形态改变与良性前列腺增生致下尿路症状的发生存在相关性。

关键词: 良性前列腺增生, 后尿道超声形态, 膀胱出口梗阻指数, 残余尿量, 下尿路症状, 相关性

Abstract: Objective To explore and analysis the correlation between changes in posterior urethral ultrasound morphology and the occurrence of lower urinary tract symptoms caused by benign prostatic hyperplasia. Methods From August 2020 to May 2023, 92 cases of male patients with benign prostatic hyperplasia who were diagnosed and treated at General Surgery Department of Shangzhou District People's Hospital were selected as the case group, while the other 92 cases of healthy male patients who underwent physical examination at General Surgery Department of Shangzhou District People's Hospital were selected as the control group during the same period. The morphological changes of posterior urethra in the case group and the control group were detected, and the symptoms of lower urinary tract were recorded, and the correlation factors of lower urinary tract symptoms caused by benign prostatic hyperplasia were analyzed by Spearman. Results The abnormal rates of posterior urethral ultrasound morphology in the case group were 53.26%, while in the control group it were 5.43%.The abnormal rate of posterior urethral ultrasound morphology in the case group were significantly higher than that in the control group (P<0.05).The bladder outlet obstruction index and residual urine volume in the case group were significantly higher than those in the control group (P<0.05),and the maximum urine flow rate were also significantly lower than that in the control group (P<0.05). In the case group, Spearman analysis showed there were correlation between abnormal ultrasound morphology of the posterior urethra and bladder outlet obstruction index,residual urine volume, maximum urine flow rate(P<0.05).Multivariate logistic regression analysis showed that the abnormal ultrasonic morphology of posterior urethra in BPH patients affected the bladder outlet obstruction index,residual urine volume and maximum urine flow rate(P<0.05). Conclusion Patients with benign prostatic hyperplasia often exhibit abnormal posterior urethral ultrasound morphology, accompanied by abnormal bladder outlet obstruction index, residual urine volume, and maximum urine flow rate. There are correlation between changes in posterior urethral ultrasound morphology and the occurrence of lower urinary tract symptoms caused by benign prostatic hyperplasia.

Key words: benign prostatic hyperplasia, ultrasound morphology of the posterior urethra, bladder outlet obstruction index, residual urine volume, lower urinary tract symptoms, relativity

中图分类号:

程博. 后尿道超声形态改变与良性前列腺增生致下尿路症状发生的相关性[J]. 中华养生保健, 2024, 42(16): 189-192.

CHENG Bo. Correlation Between Changes in Ultrasound Morphology of the Posterior Urethra and the Occurrence of Lower Urinary Tract Symptoms Caused by Benign Prostatic Hyperplasia[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(16): 189-192.

参考文献

[1] 贾路,蒋新宇,姥义,等.经直肠超声造影评估良性前列腺增生合并内腺结节治疗后血供变化的价值[J].中国性科学,2022,31(10):57-60.
[2] 韦自卫,谷猛,陈彦博,等.HoLEP治疗小体积良性前列腺增生合并重度下尿路症状临床疗效观察[J].中华男科学杂志,2021,27(9):787-792.
[3] 钱雨鑫,刘世云,王兴杰,等.良性前列腺增生症术后创面修复的新认识[J].中华医学杂志,2023,103(16):1163-1167.
[4] 杨振兴,吴畏,席俊华,等.超声膀胱内前列腺突出度对经尿道大禹刀前列腺剜除术预后及并发症相关因素的研究[J].中国医学装备,2023,20(4):95-99.
[5] 周树明,郭青良,秦奋.前列舒通胶囊联合盐酸坦索罗辛缓释胶囊治疗前列腺增生术后临床研究[J].新中医,2023,55(2):95-99.
[6] 陈庆,黄志扬,辛军,等.经尿道前列腺剜切术对良性前列腺增生患者术后阴茎勃起功能及排尿情况的影响[J].中国性科学,2022,31(3):13-17.
[7] 北京中医药学会男科疾病专家共识组.良性前列腺增生症中西医融合药物治疗专家共识[J].中国男科学杂志,2021,35(5):75-79.
[8] 曾宪涛,李胜,龚侃,等.良性前列腺增生症临床诊治实践指南的循证评价[J].中华医学杂志,2017,97(22):1683-1687.
[9] 张春鹏,何杨,张耘新,等.经尿道1470 nm半导体激光前列腺剜除术与经尿道等离子前列腺剜除术的临床应用比较研究[J].中国男科学杂志,2023,37(2):82-86.
[10] 牛明,赵治坚,夏浩,等.良性前列腺增生微创术后尿道狭窄的危险因素分析[J].中国现代医学杂志,2023,33(8):93-98.
[11] 陈慕贞,区鉴莲,李林夏,等.2型糖尿病合并良性前列腺增生患者术后性功能障碍的影响因素分析[J].中国性科学,2023,32(5):53-56.
[12] 万顺,王华彬,杨立.前列腺增生症患者中前列腺炎症严重程度的预测模型构建[J].中国男科学杂志,2023,37(2):56-61.
[13] 张涛,荀韵清,刘慧林,等.火针治疗轻中度肾阳亏虚型良性前列腺增生疗效观察[J].中国针灸,2023,43(1):45-50.
[14] 刘洪明,田野,苏志勇,等.前列腺总体积及移行带体积对良性前列腺增生症经尿道前列腺电切术疗效的影响[J].中华医学杂志,2021,101(2):137-141.
[15] 冯旭,马彦文,万军.超声引导下竖脊肌平面阻滞在经尿道前列腺切除术治疗中的临床疗效[J].国际泌尿系统杂志,2021,41(5):857-860.
[16] 李铁文,阮渊.前列腺增生发病机制的研究进展[J].国际泌尿系统杂志,2023,43(2):362-365.
[17] 逄瑷博,张春燕,凌存保,等.5-α还原酶抑制剂联合治疗良性前列腺增生的研究进展[J].武警医学,2023,34(1):78-82.
[18] 吕萃萃,王启华,肖瑶,等.空腹血糖对良性前列腺增生症患者排尿参数的影响研究[J].中国全科医学,2023,26(18):2223-2226.
[19] 徐溢萍,卢海洪,孙霞.盆底超声下尿道相关角度与腹压漏尿点压的相关性及对压力性尿失禁的临床诊断价值[J].中国妇幼保健,2023,38(4):763-766.
[20] 贾旭东,何文,张明.后尿道弯曲角度对尿流率的影响及预测下尿路症状患者膀胱出口梗阻的意义[J].河北医科大学学报,2022,43(12):1479-1484.