良性前列腺增生和下尿路症状患者膀胱出口梗阻的临床诊断：用于膀胱出口梗阻客观诊断的临床前列腺评分的制定及尿动力学验证
Clinical diagnosis of bladder outlet obstruction in patients with benign prostatic enlargement and lower urinary tract symptoms: development and urodynamic validation of a clinical prostate score for the objective diagnosis of bladder outlet obstruction.
作者信息
Rosier P F, de Wildt M J, Wijkstra H, Debruyne F F, de la Rosette J J
机构信息
Department of Urology, University Hospital Nijmegen, The Netherlands.
出版信息
J Urol. 1996 May;155(5):1649-54.
PURPOSE
We attempted to improve the method of objective clinical evaluation of patients with benign prostatic enlargement and lower urinary tract symptoms.
MATERIALS AND METHODS
We compared the results of free uroflowmetry and transrectal ultrasound prostate size determination with those of pressure-flow analysis of bladder outlet obstruction in 871 consecutive elderly men.
RESULTS
Maximal flow, prostate size, and post-void residual and voided volumes were correlated with bladder outlet obstruction to derive a clinical prostate score.
CONCLUSIONS
Clinical prostate score shows a superior correlation with bladder outlet obstruction than isolated objective parameters or symptom scores.
目的
我们试图改进对良性前列腺增生和下尿路症状患者进行客观临床评估的方法。
材料与方法
我们将871例连续的老年男性患者的自由尿流率测定和经直肠超声测定前列腺大小的结果与膀胱出口梗阻压力-流率分析的结果进行了比较。
结果
最大尿流率、前列腺大小、排尿后残余尿量和排尿量与膀胱出口梗阻相关，从而得出临床前列腺评分。
结论
临床前列腺评分与膀胱出口梗阻的相关性优于单独的客观参数或症状评分。
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