Sarmina I, Resnick M I
Division of Urology, Case Western Reserve University School of Medicine, Cleveland, Ohio.
J Urol. 1989 Apr;141(4):866-9. doi: 10.1016/s0022-5347(17)41035-4.
In an attempt to determine the role of obstructive prostatic hyperplasia as a cause of irreversible renal function the records of 32 men with a diagnosis of benign prostatic hyperplasia and renal failure were reviewed. Patients were classified as either having a serum creatinine of more than or less than 4 mg.per 100 ml. when they were discharged from the hospital. Admission serum creatinine levels were comparable in both groups. Characteristics of the group with permanently impaired renal function included a longer mean duration of symptoms, higher incidence of urinary tract infection, lower average volume of residual urine and greater incidence of small kidneys with increased parenchymal echogenicity. These data assist in the objective prediction of patients who will have irreversible renal dysfunction when presenting with obstructive benign prostatic hyperplasia.
为了确定梗阻性前列腺增生作为不可逆肾功能病因的作用，对32例诊断为良性前列腺增生和肾衰竭的男性患者的记录进行了回顾。患者出院时血清肌酐大于或小于4mg/100ml进行分类。两组患者入院时血清肌酐水平相当。肾功能永久受损组的特征包括平均症状持续时间更长、尿路感染发生率更高、残余尿量平均体积更低以及实质回声增强的小肾脏发生率更高。这些数据有助于客观预测患有梗阻性良性前列腺增生时将出现不可逆肾功能障碍的患者。
