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抗雄激素治疗后良性前列腺增生患者前列腺形态学变化的临床研究——经直肠超声断层扫描法

[Clinical studies on morphological changes in the prostate in patients with benign prostatic hypertrophy after antiandrogen therapy--by means of transrectal ultrasonotomography].

作者信息

Suzuki K, Ichinose Y, Hashimoto K, Matsumoto K, Suzuki T, Imai K, Yamanaka H

机构信息

Department of Urology, Gunma University School of Medicine.

出版信息

Hinyokika Kiyo. 1990 May;36(5):557-60.

PMID:1698012
Abstract

Transrectal ultrasonotomography is useful in following patients with benign prostatic hypertrophy, because prostatic shape and weight are precisely assumed. We studied the effect of chlormadinone acetate (CMA) on benign prostatic hypertrophy. CMA (50 mg/day) was administered to 30 patients with benign prostatic hypertrophy. Weight reduction over 10% of the gland was noticed in 24 cases (80%). Mictional conditions were improved in 70% subjectively and in 71.4% objectively. However, the number of nocturia decreased in only 18.9%. Reduction rate of the weight was unrelated with the weight of prostate before administration of CMA. Duration of administration of CMA and the reduction rate were estimated. There was no definite difference in reduction rate for the first 15 months, but there was a slightly high reduction rate after administration of CMA for more than 24 months. In 3 cases, the shape and weight of prostate were studied after discontinuation of CMA. The size of prostate showed a tendency to increase gradually.

摘要

经直肠超声断层扫描对于跟踪前列腺增生患者很有用,因为可以精确推测前列腺的形状和重量。我们研究了醋酸氯地孕酮(CMA)对前列腺增生的影响。对30例前列腺增生患者给予CMA(50毫克/天)。24例(80%)患者的腺体重量减轻超过10%。主观上70%的患者排尿情况得到改善,客观上71.4%的患者排尿情况得到改善。然而,夜尿次数仅减少了18.9%。体重减轻率与服用CMA前前列腺的重量无关。评估了CMA的给药持续时间和减轻率。在最初15个月内减轻率没有明显差异,但服用CMA超过24个月后减轻率略高。3例患者在停用CMA后研究了前列腺的形状和重量。前列腺大小有逐渐增大的趋势。

相似文献

1
[Clinical studies on morphological changes in the prostate in patients with benign prostatic hypertrophy after antiandrogen therapy--by means of transrectal ultrasonotomography].抗雄激素治疗后良性前列腺增生患者前列腺形态学变化的临床研究——经直肠超声断层扫描法
Hinyokika Kiyo. 1990 May;36(5):557-60.
2
[Clinical effects of chlormadinone acetate (Prostal) on patients with prostatic hypertrophy--with reference to estimation of size and weight of prostate by means of transrectal ultrasonotomography].醋酸氯地孕酮(普罗斯他)对前列腺增生患者的临床疗效——关于经直肠超声断层扫描评估前列腺大小和重量
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[Clinical results and problems of anti-androgen therapy of benign prostatic hypertrophy].[良性前列腺增生抗雄激素治疗的临床结果与问题]
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[Changes in serum prostate specific antigen and testosterone levels after chlormadinone acetate treatment in patients with benign prostatic hyperplasia : a prospective multicenter clinical study].醋酸氯地孕酮治疗良性前列腺增生患者后血清前列腺特异性抗原和睾酮水平的变化:一项前瞻性多中心临床研究
Hinyokika Kiyo. 2011 Apr;57(4):177-83.
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Int J Androl. 1995 Oct;18(5):248-55.
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Relationship between prostatic atrophy and apoptosis in the canine spontaneous benign prostatic hyperplasia (BPH) following chlormadinone acetate (CMA).醋酸氯地孕酮(CMA)处理后犬自发性良性前列腺增生(BPH)中前列腺萎缩与细胞凋亡的关系。
Tokai J Exp Clin Med. 2001 Jul;26(2):71-5.
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Effect of antiandrogen, chlormadinone acetate (CMA), in canine spontaneous benign prostatic hyperplasia (BPH).抗雄激素醋酸氯地孕酮(CMA)对犬自发性良性前列腺增生(BPH)的影响。
Tokai J Exp Clin Med. 2000 Apr;25(1):11-4.
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[Evaluation of anti-androgen therapy for benign prostatic hypertrophy by using transrectal prostatic ultrasonography].[经直肠前列腺超声检查评估抗雄激素疗法治疗良性前列腺增生症]
Hinyokika Kiyo. 1990 Dec;36(12):1423-7.