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[1]黄 维,刘 励,陈光勇,等.前列腺突入膀胱距离及逼尿肌厚度与膀胱出口梗阻的关系探讨[J].医学研究与战创伤救治(原医学研究生学报),2012,14(05):435-437.
　HUANG Wei,LIU Li,CHEN Guang-yong,et al.Correlation of intravesical prostatic protrusion and detrusor wall thickness with bladder outlet obstruction[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2012,14(05):435-437.
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前列腺突入膀胱距离及逼尿肌厚度与膀胱出口梗阻的关系探讨()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第14卷
期数:
2012年05期
页码:
435-437
栏目:
出版日期:
2012-09-20

文章信息/Info

Title:
Correlation of intravesical prostatic protrusion and detrusor wall thickness with bladder outlet obstruction
文章编号:
1672-271X(2012)05-0435-03
作者:
黄 维1; 刘 励2; 陈光勇1; 龚丽媛1; 冯颖慧3
351100 福建莆田，南京军区福州总医院95临床部，1.超声科，2.眼科，3.泌尿外科
Author(s):
HUANG Wei1; LIU Li2; CHEN Guang-yong1; GONG Li-yuan1; FENG Ying-hui3
1.Department of Ultrasound,2.Department of Ophthalmology,3.Department of Urinary Surgery,95 Clinical Branch,Fuzhou General Hoapital of Nanjing Military Command,PLA,Putian,Fujian 351100,China
关键词:
前列腺突入膀胱距离; 逼尿肌厚度; 良性前列腺增生; 膀胱出口梗阻
Keywords:
intravesical prostatic protrusion;  destrusor wall thickness;  benign prostatic hyperplasia;  bladder outlet obstruction
分类号:
R445.1
DOI:
-
文献标志码:
A
摘要:
目的 探讨前列腺突入膀胱距离(intravesical prostatic protrusion，IPP)及逼尿肌厚度(destrusor wall thickness，DWT)与良性前列腺增生(benign prostatic hyperplasia，BPH)所致膀胱出口梗阻(bladder outlet obstruction,BOO)的关系，旨在寻找一种简单、非侵入性诊断的方法。方法 选择前列腺增生有下尿路症状患者200例，予经腹超声检查及尿流动力学检查，测量参数包括:IPP、DWT、残余尿量(post-void residual urine，PVR)、前列腺体积(prostate volume，PV)、尿流动力学Schaefer分级；对数据进行统计分析并绘制相应ROC曲线。结果 IPP、DWT、PV与Schaefer分级相关[相关系数(r)分别为0.73、0.56、0.23，P值均＜0.01]；PVR与Schaefer分级无关；IPP、DWT、PV的ROC曲线下面积分别为0.80、0.84、0.60。结论 经腹超声测量DWT、IPP可以预测前列腺增生患者BOO程度，是一种简单、无创、有效的评估方法。
Abstract:
Objective To investigate the correlation of intravesical prostatic protrusion (IPP) and detrusor wall thickness (DWT) with bladder outlet obstruction (BOO) in patients with benign prostatic hyperplasia (BPH),and to find a simple and noninvasive method to diagnose BOO.Methods A total of 200 men with lower urinary tract symptoms (LUTS) due to BPH were prospectively enrolled.The initial evaluation included DWT,IPP,post-void residual urine (PVR),prostate volume (PV),Schaefer obstruction class.These data were analyzed with statistic and produced a ROC curve.Results There are significant correlation between IPP,DWT and PV with the Schaefer obstruction class (r=0.73,0.38,0.23,respectively;P<0.01).There were no correlation between PVR and the Schaefer obstruction class.The AUC for IPP,DWT,PV was 0.80,0.84,0.60,respectively.Conclusion Trans-abdominal ultrasound of IPP and DWT can be used to predict patients with BOO due to BPD,and it is a simple,noninvasive,and effective method.

参考文献/References:

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更新日期/Last Update: 2012-09-20