Kong Bin, Hou Xu, Yang Jin-Yi
Department of Urology, Dalian Friendship Hospital Affiliated to Dalian Medical University, Dalian, Liaoning 116001, China.
Zhonghua Nan Ke Xue. 2019 Aug;25(8):744-748.
BPH is a most common benign disease causing dysuria in old and middle-aged males. Studies show that the total prostate volume (TPV) is not necessarily correlated with the severity of lower urinary tract symptoms (LUTS). All BPH hyperplastic nodules occur in the prostate transitional zone and the glandular region around the urethra. Therefore, there are few clinical studies on the correlation between the peripheral zone thickness (PZT) of the prostate and BPH/LUTS. Relevant literature on the correlation between PZT and BPH/LUTS published at home and abroad in recent years indicate that PZT is a novel, simple, economical, reliable and simple measurement of prostate parameters independently associated with urinary tract symptoms in patients with BPH and will be a new factor in the evaluation and management of male BPH/LUTS. However, further research is needed to clarify the clinical utility of PZT in place of invasive urodynamic testing, and its applicability to the BPH patients in China more has to be certified by more clinical and prospective studies.
良性前列腺增生是中老年男性排尿困难最常见的良性疾病。研究表明,前列腺总体积(TPV)不一定与下尿路症状(LUTS)的严重程度相关。所有良性前列腺增生的增生结节均发生在前列腺移行区和尿道周围腺体区域。因此,关于前列腺外周带厚度(PZT)与良性前列腺增生/下尿路症状之间相关性的临床研究较少。近年来国内外发表的有关PZT与良性前列腺增生/下尿路症状相关性的相关文献表明,PZT是一种新颖、简单、经济、可靠且简便的前列腺参数测量方法,与良性前列腺增生患者的尿路症状独立相关,将成为男性良性前列腺增生/下尿路症状评估和管理的一个新因素。然而,需要进一步研究以阐明PZT替代侵入性尿动力学检测的临床实用性,其在中国良性前列腺增生患者中的适用性更有待更多临床和前瞻性研究加以证实。