首页|血清前列腺特异性抗原与良性前列腺增生合并前列腺炎临床病理的关系

血清前列腺特异性抗原与良性前列腺增生合并前列腺炎临床病理的关系

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目的研究血清前列腺特异性抗原与良性前列腺增生合并前列腺炎临床病理相关性。方法选择我院2010年4月-2012年1月入院诊断结果有下尿路梗阻症状并经过手术治疗后病理诊断为良性前列腺增生患者116例为研究对象,术前经过国际前列腺症状评分结果为21.4±8.4,生活质量评分为4.0±0.8,尿流率8.2±3.3ml/s,前列腺体积70.3±35.5ml,残余尿81.3±105.5ml,血清PSA值<4ng/ml者51例(44.0%),4-10ng/ml者45例(38.8%),超过10ng/ml者20例(17.2%)。结果血清PSA水平同患者年龄、前列腺症状评分、生活质量、最大尿流率、残余尿量无明显相关性,而同前列腺体积具有显著正相关;血清PSA水平升高与前列腺体积及尿潴留的发生率具有统计学意义。前列腺增生的组织标本中以前列腺增生为主,或伴有梗死性病灶患者的血清前列腺特异性抗原水平显著升高。结论超过一半以上接受手术治疗的前列腺增生患者血清前列腺特异性抗原水平升高,前列腺体积明显增大、尿潴留以及表现为前列腺增生为主或伴有梗死灶的前列腺增生是血清前列腺特异性抗原水平升高的主要因素。
Relationship between Serum Level of Prostate-specific antigen and BPH merge prostatitis
Objective To study the serum prostate specific antigen with prostatitis merger benign prostatic hyperplasia patients clinical cases correlation. Methods Choose from April 2010 to January 2012 to the hospital diagnosis have lower urinary tract obstruction symptoms after surgery and pathological diagnosis after treatment for 116 cases of benign prostatic hyperplasia patients as the research object, preoperative through international prostate symptom score result was 21.4±8.4, the quality of life score was 4.0±0.8, urine flow rate 8.2±3.3ml/s, prostate volume 70.3 ±35.5ml residual urine 81.3±105.5ml, serum PSA value<4ng/ml is 51cases(44.0%), 4-10ng/ml is 45 cases(38.8%), more than 10ng/ml is 20 cases(17.2%). Results The level of serum PSA with patient age, prostate symptom scores, the quality of life, the biggest urine flow velocity, residual urine volume no significant correlation with prostate volume has significant positive correlation; Serum PSA levels and prostate volume and the incidence of urinary retention with statistical significance. Hyperplasia of prostate tissue samples to prostatic hyperplasia is given priority to, or associated with infarction venereal disease patients with focal serum prostate specific antigen levels increased significantly. Conclusion More than half accepted surgical treatment of benign prostatic hyperplasia patients serum prostate specific antigen levels, prostate volume increased, urinary retention and performance for prostate hyperplasia is given priority to, or associated with infarcts of prostate hyperplasia is serum prostate specific antigen levels of the main factors.

Benign prostatic hyperplasiaProstate specific antigenProstatitis

张辉泽、赖维湛

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528300 佛山,广东同江医院泌尿外科

良性前列腺增生 前列腺特异性抗原 前列腺炎

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(8)
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