摘要
目的探讨单纯前列腺增生(BPH)与合并慢性前列腺炎(CP)患者在临床特点上的差异。方法回顾性分析2005年至2010年于我院行经尿道前列腺电切术(TURP)术治疗的BPH患者,按照是否合并CP,分为单纯BPH组和合并CP组两组,采用SPSS 1 7.0软件进行统计学分析,比较两组患者在年龄、临床症状、前列腺体积、国际前列腺症状评分(IPSS)、PSA等指标上是否存在差异。结果 288例BPH患者中合并CP有63例。单纯BPH患者多因尿频、排尿困难入院,而合并有CP的BPH患者中有79.6%因疼痛或终末尿滴沥入院;虽然合并CP患者较单纯BPH患者发病年龄更高、前列腺体积更大、PSA更高,但差异无统计学意义;合并CP患者较单纯BPH患者IPSS更高,差异有统计学意义。结论有无疼痛或终末尿滴沥及IPSS高低是临床鉴别单纯BPH患者与合并CP的BPH患者的重要指标;在IPSS评分大于25分时应警惕前列腺炎的存在。
Objective To analyze the differences in clinical features of simple BPH and BPH with CP. Methods The clinical data of patients who underwent TURP from 2005 to 2010 were retrospectively analyzed. The significant differences in ages, clinic features, volume of prostate, IPSS score, serum prostate specific antigen, etc were statistically analyzed by SPSS17.0. Results Simple BPH patients were admitted due to urinary frequency, while patients who accompanying with CP were admitted due to pain or terminal dribbling; There were no differences in ages, prostate volume and PSA, whereas a significant difference in IPSS between simple BPH patients and BPH patients with CP. Conclusion Pain or terminal dribbling or IPSS scores might be important indexes to discriminate simple BPH from BPH with CP. Patients with IPSS score over 25 should be considered as occurrence of prostatitis.
出处
《中国男科学杂志》
CAS
CSCD
2010年第10期25-27,32,共4页
Chinese Journal of Andrology
关键词
前列腺炎
前列腺增生
prostatitis
prostatic hyperplasia
