前列腺增生并发膀胱结石形成因素分析
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摘要
目的探讨前列腺增生并发膀胱结石形成的影响因素。方法选择2014年1月~2017年1月在佛山市高明区人民医院泌尿外科住院治疗并诊断为前列腺增生并膀胱结石的60例患者作为观察组,前列腺增生无膀胱结石的60例患者作为对照组。收集国际前列腺症状评分(IPSS)、膀胱内前列腺突入程度(IPP)、前列腺移行区体积(TZV)、排尿量(VV)、剩余尿量(PVR)、膀胱出口梗阻指数(BOOI)、前列腺总体积(TPV)、最大尿流率(Qmax),分析其形成因素。结果经单因素分析,年龄、尿流动力学检测参数Qmax、经直肠前列腺彩超TPV、TZV、IPP差异均有统计学意义(t=2.248、4.754、2.216、5.031、6.409,P<0.05)。结论尿流动力学检测参数Qmax、经直肠前列腺彩超TPV、TZV、IPP与前列腺增生并发膀胱结石相关。
Objective To investigate the factors influencing the formation of benign prostatic hyperplasia complicated with bladder stones. Methods In the Department of Urology of the People's Hospital of Gaoming District in Foshan,60 cases of benign prostatic hyperplasia and bladder stones were treated as observation group,and 60 patients with BPH without bladder stones were selected as control group.The international prostate symptom score(IPSS),the degree of prostatic protrusion in the bladder(IPP),the volume of prostate transitional area(TZV),the volume of voiding volume(VV),the residual urine volume(PVR),the bladder outlet obstruction index(BOOI),the total prostate volume(TPV),the maximum flow rate(Qmax) were collected,and its formation factors were analyzed. Results By single factor analysis,there were significant differences in age,urodynamic parameters Qmax and transrectal color Doppler ultrasound TPV,TZV,IPP between two groups(t=2.248, 4.754,2.216,5.031,6.409,P < 0.05). Conclusion Urinary flow kinetic parameters Qmax and transrectal color Doppler ultrasound TPV,TZV and IPP are associated with benign prostatic hyperplasia complicated with bladder stones.
Objective To investigate the factors influencing the formation of benign prostatic hyperplasia complicated with bladder stones. Methods In the Department of Urology of the People's Hospital of Gaoming District in Foshan,60 cases of benign prostatic hyperplasia and bladder stones were treated as observation group,and 60 patients with BPH without bladder stones were selected as control group.The international prostate symptom score(IPSS),the degree of prostatic protrusion in the bladder(IPP),the volume of prostate transitional area(TZV),the volume of voiding volume(VV),the residual urine volume(PVR),the bladder outlet obstruction index(BOOI),the total prostate volume(TPV),the maximum flow rate(Qmax) were collected,and its formation factors were analyzed. Results By single factor analysis,there were significant differences in age,urodynamic parameters Qmax and transrectal color Doppler ultrasound TPV,TZV,IPP between two groups(t=2.248, 4.754,2.216,5.031,6.409,P < 0.05). Conclusion Urinary flow kinetic parameters Qmax and transrectal color Doppler ultrasound TPV,TZV and IPP are associated with benign prostatic hyperplasia complicated with bladder stones.
引文
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[13]黄辉,殷立平,周正国,等.超声造影峰值强度对前列腺周缘区良恶性结节的诊断价值[J].临床超声医学杂志,2015,17(12):798-800.
[14]覃斌,梁阳冰,梁毅文,等.直肠超声引导下经会阴和直肠前列腺穿刺活检术诊断灰区前列腺癌的对比研究[J].中华男科学杂志,2016,22(5):477-479.
[15]张继伟,夏溟.小体积良性前列腺增生引起膀胱出口梗阻的手术治疗[J].中华男科学杂志,2016,22(4):339-342.
[16]杨占坡,马洪顺.前列腺突入膀胱程度与前列腺增生症膀胱出口梗阻关系的研究进展[J].现代泌尿外科杂志,2017,22(6):478-480.
[17]刘宁,满立波,何峰,等.采用排尿功率联合膀胱收缩指数评价膀胱代偿能力的研究[J].中华泌尿外科杂志,2016,37(1):68-69.
[18]Pagano E,Montanaro V,Di GA,et al.Effect of Nonpsychotropic Plant-derived Cannabinoids on Bladder Contractility:Focus on Cannabigerol[J].Natural Product Communications,2015,10(6):1009-1012.
[19]Osborn DJ,Kaufman MR,Mock S,et al.Urinary retention rates after intravesical onabotulinumtoxin A injection for idiopathic overactive bladder in clinical practice and predictors of this outcome[J].Neurourology&Urodynamics,2015,34(7):675-678.
[20]Kim JW,Oh MM,Park HS,et al.Intravesical prostatic protrusion is a risk factor for bladder stone in patients with benign prostatic hyperplasia[J].Urology,2014,84(5):1026-1029.
[2]Ercil H,Altunkol A,Alma E,et al.Comparison of Ho:Yag laser and pneumatic lithotripsy combined with transurethral prostatectomy in high burden bladder stones with benign prostatic hyperplasia[J].Asian Journal of Surgery,2016,39(4):238-242.
[3]张跃辉,施国伟,王洋,等.前列腺增生并发膀胱结石形成原因探讨[J].现代泌尿外科杂志,2012,17(3):272-277.
[4]Tan YH,Foo KT.Intravesical prostatic protrusion predicts the outcome of a trial without catheter following acute urine retention[J].Journal of Urology,2003,170(1):2339-2341.
[5]Filipovski V,Kubelkasabit K,Jasar D,et al.Androgen Receptor Expression in Epithelial and Stromal Cells of Prostatic Carcinoma and Benign Prostatic Hyperplasia[J].Open Access Maced J Med Sci,2017,5(5):608-612.
[6]Silvaramos M,Silva I,Oliveira JC,et al.Increased urinary adenosine triphosphate in patients with bladder outlet obstruction due to benign prostate hyperplasia[J].Prostate,2016,76(15):1353-1363.
[7]徐林.前列腺增生合并膀胱结石同期手术治疗的临床分析[J].中国全科医学,2016,27(2):188-189.
[8]曾杨军,胡万里,刘昭,等.前列腺结石相关危险因素的临床分析[J].现代泌尿外科杂志,2016,21(12):914-917.
[9]Sondergaard G,Vetner M,Christensen PO.Prostatic Calculi[J].Acta Pathol Microbiol Immunol Scand A,1987,95(3):141-145.
[10]赵国贤,傅博,王合明,等.某市4323名体检者中前列腺结石的发病概况[J].中国医药指南,2012,10(18):567-569.
[11]Peters M,Jr Vdvvz,Moerland MA,et al.Multivariable model development and internal validation for prostate cancer specific survival and overall survival after wholegland salvage Iodine-125 prostate brachytherapy[J].Radiotherapy&Oncology Journal of the European Society for Therapeutic Radiology&Oncology,2016,119(1):104-110.
[12]高岑,高志朝,彭福生.余杭区前列腺增生患病现状及相关治疗的调查[J].中国性科学,2016,25(4):11-14.
[13]黄辉,殷立平,周正国,等.超声造影峰值强度对前列腺周缘区良恶性结节的诊断价值[J].临床超声医学杂志,2015,17(12):798-800.
[14]覃斌,梁阳冰,梁毅文,等.直肠超声引导下经会阴和直肠前列腺穿刺活检术诊断灰区前列腺癌的对比研究[J].中华男科学杂志,2016,22(5):477-479.
[15]张继伟,夏溟.小体积良性前列腺增生引起膀胱出口梗阻的手术治疗[J].中华男科学杂志,2016,22(4):339-342.
[16]杨占坡,马洪顺.前列腺突入膀胱程度与前列腺增生症膀胱出口梗阻关系的研究进展[J].现代泌尿外科杂志,2017,22(6):478-480.
[17]刘宁,满立波,何峰,等.采用排尿功率联合膀胱收缩指数评价膀胱代偿能力的研究[J].中华泌尿外科杂志,2016,37(1):68-69.
[18]Pagano E,Montanaro V,Di GA,et al.Effect of Nonpsychotropic Plant-derived Cannabinoids on Bladder Contractility:Focus on Cannabigerol[J].Natural Product Communications,2015,10(6):1009-1012.
[19]Osborn DJ,Kaufman MR,Mock S,et al.Urinary retention rates after intravesical onabotulinumtoxin A injection for idiopathic overactive bladder in clinical practice and predictors of this outcome[J].Neurourology&Urodynamics,2015,34(7):675-678.
[20]Kim JW,Oh MM,Park HS,et al.Intravesical prostatic protrusion is a risk factor for bladder stone in patients with benign prostatic hyperplasia[J].Urology,2014,84(5):1026-1029.