摘要
目的:探究良性前列腺增生(BPH)患者尿道几何参数与症状及梗阻相关性,评估超声诊疗价值.方法:回顾性分析 220 例BPH患者数据,包括年龄、IPSS评分、vIPSS评分、sIPSS评分、QoL问卷评分、前列腺长度、宽度、移行带高度、长度和宽度等.结果:超声参数与年龄正相关;尿道长度与IPSS评分有密切线性关系;近段尿道拱高(Puah)与IPSS评分和QoL量表评分的相关性显著;移行带体积(Vtz)是Pul变化的重要预测因子.结论:超声几何参数,如尿道长度、Puah,对评估症状严重度及梗阻情况有重要价值,有助于临床诊断与治疗决策.
Abstract
Objective:To investigate the correlation between urethral geometric parameters and symptoms,including obstruction in patients with Benign Prostatic Hyperplasia(BPH),and to evaluate the diagnostic and therapeutic value of ultrasound.Methods:A retrospective analysis of data from 220 BPH patients was conducted,including age,IPSS score,voiding IPSS(vIPSS),storage IPSS(sIPSS),quality of life(QoL)questionnaire scores,prostate length,width,transition zone height,length,and width.Results:Ultrasound parameters were positively correlated with age;urethral length had a significant linear relationship with IPSS score;proximal urethral arch height(Puah)was significantly correlated with IPSS and QoL scores;transition zone volume(Vtz)was a significant predictor of Pul changes.Conclusion:Ultrasonic geometric parameters,such as urethral length and Puah,are valuable in assessing symptom severity and obstruction,aiding in clinical diagnosis and treatment decisions.