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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.

PMID:8627845
Abstract

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.

摘要

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。

相似文献

1
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.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
J Urol. 1996 May;155(5):1649-54.
2
Combination of symptom score, flow rate and prostate volume for predicting bladder outflow obstruction in men with lower urinary tract symptoms.症状评分、流速和前列腺体积相结合用于预测男性下尿路症状患者的膀胱出口梗阻。
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Urodynamic Features and Significant Predictors of Bladder Outlet Obstruction in Patients With Lower Urinary Tract Symptoms/Benign Prostatic Hyperplasia and Small Prostate Volume.下尿路症状/良性前列腺增生且前列腺体积小的患者膀胱出口梗阻的尿动力学特征及重要预测因素
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Intravesical prostatic protrusion can predict therapeutic response to silodosin in male patients with lower urinary tract symptoms.膀胱内前列腺突出可预测男性下尿路症状患者对西洛多辛的治疗反应。
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Combination of intravesical prostatic protrusion and resistive index is useful to predict bladder outlet obstruction in patients with lower urinary tract symptoms suggestive of benign prostatic hyperplasia.膀胱内前列腺突出与阻力指数相结合有助于预测提示良性前列腺增生的下尿路症状患者的膀胱出口梗阻。
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[The relationship between intravesical prostatic protrusion and pressure flow study findings in patients with benign prostate obstruction/lower urinary tract symptoms].[良性前列腺梗阻/下尿路症状患者膀胱内前列腺突出与压力流率研究结果之间的关系]
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Decreased urinary nerve growth factor reflects prostatic volume reduction and relief of outlet obstruction in patients with benign prostatic enlargement treated with dutasteride.尿神经生长因子降低反映了接受度他雄胺治疗的良性前列腺增生患者前列腺体积减小及出口梗阻缓解。
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Age and bladder outlet obstruction are independently associated with detrusor overactivity in patients with benign prostatic hyperplasia.年龄和膀胱出口梗阻与良性前列腺增生患者的逼尿肌过度活动独立相关。
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Which is a better indicator of bladder outlet obstruction in patients with benign prostatic enlargement--intravesical protrusion of prostate or bladder wall thickness?对于良性前列腺增生患者,哪一项是更好的膀胱出口梗阻指标——前列腺膀胱内突出还是膀胱壁厚度?
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Med Arch. 2019 Apr;73(2):81-86. doi: 10.5455/medarh.2019.73.81-86.
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F1000Res. 2019 May 9;8. doi: 10.12688/f1000research.16120.1. eCollection 2019.
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National Trend of Uroflowmetry, Urodynamic Study and Cystoscopy Considering the Change in the Population Structure in Korea from 2010 to 2015.
考虑到韩国 2010 年至 2015 年人口结构的变化,对尿流率测定、尿动力学研究和膀胱镜检查的全国趋势。
J Korean Med Sci. 2018 Apr 25;33(20):e145. doi: 10.3346/jkms.2018.33.e145. eCollection 2018 May 14.
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Pathophysiology of clinical benign prostatic hyperplasia.临床良性前列腺增生的病理生理学
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Solving the benign prostatic hyperplasia puzzle.破解良性前列腺增生之谜。
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Seasonal Changes in Lower Urinary Tract Symptoms in Japanese Men With Benign Prostatic Hyperplasia Treated With α-Blockers.使用α受体阻滞剂治疗的日本良性前列腺增生男性下尿路症状的季节性变化
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Is multichannel urodynamic assessment necessary before considering a surgical treatment of BPH? Pros and cons.在考虑对良性前列腺增生进行手术治疗之前,多通道尿动力学评估是否必要?利弊分析。
World J Urol. 2016 Apr;34(4):463-9. doi: 10.1007/s00345-015-1647-8. Epub 2015 Jul 28.
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Non-invasive clinical parameters for the prediction of urodynamic bladder outlet obstruction: analysis using causal Bayesian networks.预测尿动力学膀胱出口梗阻的非侵入性临床参数:使用因果贝叶斯网络的分析
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Does the combination of intravesical prostatic protrusion and bladder outlet obstruction number increase test accuracy according to benign prostatic obstruction at the individual level?在个体水平上,膀胱内前列腺突出与膀胱出口梗阻数量的组合是否会提高根据良性前列腺梗阻进行检测的准确性?
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