临床良性前列腺增生患者的前列腺体积、尿流率变量和体重指数的相关性。

Ashraf Uddin Mallik, Md Mostafizur Rahman, Uttam Karmaker, Tamanna Jahan, Marufur Rahman, Nure Shahriar, Imtiaz, Dilruba Yasmin, Yasir Arafat
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摘要

背景:良性前列腺增生症(BPH)导致排尿障碍是40岁以上男性的常见病。前列腺增生会压迫尿道的前列腺部分,导致膀胱流出道梗阻,引起良性前列腺增生症的下尿路症状,降低生活质量:找出前列腺体积、体重指数与前列腺增生症患者尿流率变量的相关性:本研究共纳入 44 名有良性前列腺增生症状的患者,他们的年龄从 48 岁到 85 岁不等,均在站立姿势下接受了经腹超声波检查和尿流率测量。患者被分为 4 个年龄组和 4 个前列腺大小等级,以进行比较。以厘米为单位记录身高,以公斤为单位记录体重,以便计算体重指数:患者的平均年龄为 66.25 岁,平均前列腺大小为 39.73 克,Qmax 为 14.45 毫升/秒,Qave 为 5.96 毫升/秒,平均排尿量为 327.14 毫升,PVR 为 57.91 毫升,平均排尿时间为 61 秒。ll年龄组有11名患者,年龄在51至60岁之间。ll组有17名患者,年龄在61至70岁之间。第llV年龄组有13名患者,年龄在71至84岁之间。前列腺大小为l级(前列腺85克)的患者有2名。4 个年龄组和 4 个前列腺体积等级之间没有发现明显差异。然而,前列腺大小与尿流测量变量之间存在微弱的相关性,但无显著差异:结论:前列腺体积与不同年龄组和不同级别前列腺的不同尿流率变量之间存在相关性,但相关性较弱。
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Correlation of Prostate Volume, Uroflowmetry Variables and BMI in Patients Having Clinical Benign Prostatic Hyperplasia.
Background: Benign Prostatic Hyperplasia (BPH) causing urinary obstruction is a common entity in a man over 40 years old. Enlarge prostate causes compression of the prostatic part of the urethra leading to bladder outflow obstruction, causes LUTs (lower urinary tract symptoms) of BPH and decreases quality of life.Objectives: To find out the correlation of prostate volume, and BMI with Uroflowmetry variables, of patients having BPH symptoms.Materials and Methods: A total of 44 patients having BPH symptoms, ages ranging from 48 to 85 years, who underwent transabdominal ultrasound and uroflowmetry in a standing position, were included in this study. The patients were divided into 4 age groups and 4 grades of prostate size for comparison. Height in cm and weight in Kg were recorded for BMI calculation.Results: Among the patients, the mean age was 66.25, with a mean prostate size of 39.73 g, with a Qmax of 14.45 ml/sec, Qave 5.96 ml/sec, mean voided volume 327.14 ml and PVR 57.91 ml with mean flow time 61 sec.In age group l, there were 3 patients, ages ranged 40 to 50 years. In age group ll, there were 11 patients, age range 51 to 60 years. In age group lll, there were 17 patients, ages ranged 61 to 70 years. In age group lV, there were 13 patients, age range 71 to 84 years. In grade l of prostate size (prostate <30 g), there were 13 patients. In grade ll prostate size (prostate 30-<50 g ), there were 25 patients. In grade lll, prostate size (50- <85 g), there were 4 patients. In grade lV (prostate size is >85 g), there were 2 patients. No significant difference was found among 4 age groups and 4 grades of prostate volume. However, there was a weak correlation between prostate size and uroflowmetry variables without a significant difference.Conclusion: There was a correlation between prostate volume and different uroflowmetry variables of age-related groups and grades of the prostate but the correlation was weak. KYAMC Journal Volume: 14, No: 03, October 2023: 138-144.
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