前列腺突入膀胱程度对前列腺增生患者应用α-受体阻滞剂治疗的影响

Abstract
Figure/Table
References (17)
Related Citation (15)

Download: PDF (0 KB) HTML (31 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To exp1ore the inf1uence of intravesica1 prostatic protrusion（IPP）on app1ication of α-b1ocker treated for patients with benign prostatic hyperp1asia（BPH）.Methods From October 2012 to October 2015，c1inica1 data from 168 BPH patients with IPP accepted α-b1ocker treatment in our hospita1 were retrospective1y ana1yzed.According to degree of IPP，they were divided into significant IPP group（IPP＞5 mm，n=63）and non-significant IPP group（IPP≤5mm，n=105）.The four indexes inc1uding internationa1 prostate symptom score　（IPSS），qua1ity of 1ife score（QOL），maximum urinary f1ow rate（Qmax），and postvoid residua1（PVR）before and after app1ying α-b1ockers in BPH patients in the two groups were studied and compared.Results There was no statistica1 difference in age，IPSS，and QOL before using α-b1ockers between two groups（t=1.542，1.893，0.431，P＞0.05）.The Qmax in the significant IPP group was 1ower than that in the non-significant IPP group and PVR in the significant IPP group was higher than the 1atter group，which were both disp1ayed statistica1 differences　（t=3.187，2.183，P＜0.05）.Two-month after app1ying α-b1ockers，va1ue changes of IPSS and QOL score in the significant IPP group was 1ower than that in the non-significant IPP group respective1y，with statistica1 differences（t=2.799，5.116，P＜0.05）.There was no great difference in changes of Qmax or PVR（t=1.919，0.852，P＞0.05）.Conclusion IPP can be considered as an indicator for predicting score changes of IPSS and QOL after app1ying α-b1ocker to treat BPH patients，which provides a c1inica1 reference for c1inica1 effect eva1uation of BPH treated by α-b1ocker.

Key words： Degree of intravesica1 prostatic protrusion；&alpha -b1ocker；Prostatic hyperp1asia

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	YE Mu-shi
	LI Zhuo
	YAN Yun-kun

Cite this article:

YE Mu-shi,LI Zhuo,　YAN Yun-kun. Influence of intravesical Prostatic Protrusion on aPPlication of α-blocker treated for Patients with benign Prostatic hyPerPlasia[J]. 中国当代医药, 2016, 23(13): 57-59转63.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I13/57

［10］	Mangera A，Chapp1e C.Modern eva1uation of 1ower urinary tract symptoms in 2014［J］.Curr Opin Uro1，2014，24 （1）：15-20.
［11］	桂赞龙，贾瑞鹏.良性前列腺增生合并膀胱出口梗阻非侵入性诊断方法的研究进展［J］.中华解剖与临床杂志，2015，20（1）：78-81.
［12］	胡袆民，倪梁朝，吴雄辉，等.前列腺突入膀胱程度对膀胱出口梗阻的尿动力学分析［J］.国际医药卫生导报，2008，14（1）：26-29.
［16］	宋涛，高晓军，姜兴金，等.经直肠超声评价前列腺突入膀胱致膀胱出口梗阻的研究［J］.中华超声影像学杂志，2007，16（8）：692-695.
［1］	朱道宇，赵虎，王仪春，等.前列腺突入膀胱程度对经尿道前列腺电切术手术难度及疗效的影响［J］.江苏医药，2015，41（13）：1505-1508.
［4］	刘秉乾，李建华，王义昆，等.M受体阻滞剂联合α受体阻滞剂治疗膀胱过度活动症合并膀胱出口梗阻的Meta分析［J］.中华外科杂志，2014，52（5）：376-380.
［5］	赵虎，吴斌，袁军，等.前列腺突入膀胱程度对前列腺电切术后效果评估的价值［J］.中华腔镜泌尿外科杂志（电子版），2014，8（4）：6-9.
［2］	AUA Practice Guide1ine Commitee.AUA guide1ine on management of benign proostatic hyyperp1asia（2003）.Chapter 1：diagnosis and treatment recommendations［J］.J Uro1，2003，170（2 Pt 1）：530-547.
［3］	Yang Z，Wang X，Liu T.Thu1ium 1aser enuc1eation versus p1asmakinetic　resection　ofthe　prostate：a　randomized prospective tria1 with 18-month fo11ow-up［J］.Uro1ogy，2013，81（2）：396-400.
［6］	Lee JW，Ryu JH，Yoo TK，et al.Re1ationship between intravesica1 prostatic protrusion and postoperative outcomes in patients with benign prostatic hyperp1asia［J］.Korean J Uro1，2012，53（7）：478-482.
［7］	Wee JH，Choi YS，Bae WJ，et al.Inf1uence of intravesica1 prostatic protrusion on preoperative 1ower urinary tract symptoms and outcomes after 120 W high performance system 1aser treatment in men with benign prostatic hyperp1asia［J］.Korean J Uro1，2012，53（7）：472-477.
［8］	Mariappan P，Brown DJ，McNei11 AS.Intravesica1 prostatic protrusion is better than prostate vo1ume in predicting the outcome of tria1 without catheter in white men presenting with acute urinary retention：a prospective c1inica1 study［J］. J Uro1，2007，178（2）：573-577.
［9］	Løvvik A，Yaqub S，Oustad H，et al.Can noninvasive eva1-uation of benign prostatic obstruction be optimized？［J］. Curr Opin Uro1，2012，22（1）：1-6.
［13］	Aganofic D，Prcic A，Hadziosmanovic O，et al.Does the combination of intravesica1 prostatic protrusion and b1adder out1et obstruction number increase test accuracy according to benign pmstatic obstruction at the individua1 1eve1？［J］.Aeta Inform Med，2012，20（3）：160-166.
［14］	Shin SH，Kim JW，Kim JW，et al.Defining the degree of intravesica1 prostatic protrusion in association with b1adder out1et obstruction［J］.Korean J Uro1，2013，54（6）：369-372.
［15］	Hossain AK，A1am AK，Habib AK，et al.Comparison between prostate vo1ume and intravesica1 prostatic protrusion in detecting b1adder out1et obstruction due to benign prostatic hyperp1asia［J］.Bang1adesh Med Res Counc Bu11，2012，38（1）：14-17.
［17］	Park SC，Lee JW，Rim JS.The re1ationship between intravesica1 prostatic protrusion and pressure f1ow study findings in patients with benign prostate obstruction/1ower urinary tract symptoms［J］.Actas Um1 Esp，2012，36（3）：165-170.