对比IPSS得分和空白参数在男性提出与LUTS的比较
Tobias S Kohler1, Sankar J Kausik2
1Department of Urology, Mayo Clinic, Rochester, Minnesota, USA.
The Canadian journal of urology
|October 15, 2023
概括
主观下泌尿道症状 (LUTS) 评分与男性良性前列腺增生症 (BPH) 的客观排泄参数的相关性很弱. 包括症状和空洞测量在内的全面评估对于准确的LUTS诊断和管理至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 安德罗学与人类学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 下泌尿道症状 (LUTS) 在患有良性前列腺增生症 (BPH) 的男性中常见.
- 主观症状得分,如国际前列腺症状得分 (IPSS),经常用于LUTS评估.
- 客观的排空参数提供了膀出口阻塞的定量测量.
研究的目的:
- 通过UroCuff测试获得的主观LUTS (IPSS) 与客观空白参数进行比较.
- 评估与BPH相关的LUTS男性自我报告的症状和尿动力学测量之间的相关性.
主要方法:
- 从更大的LUTS队列中分析了一个扩展的子群体 (1077名男性).
- 在非侵入性UroCuff测试 (压力流量研究) 期间可选采集国际前列腺症状评分 (IPSS).
- 统计分析包括描述性统计,相关系数和多变量线性回归.
主要成果:
- 在IPSS和客观参数之间发现了微弱但具有统计意义的相关性:最大流量 (Qmax),空置体积 (VV),空置后剩余体积 (PVR) 和UroCuff象限.
- 增加的年龄和高的VV与IPSS降低相关,而高的PVR与IPSS增加相关.
- 这些关联随着疾病进展的增加而减弱.
结论:
- 自我报告的LUTS (IPSS) 单独不足以确定诊断,因为与客观空白参数的相关性很弱.
- 最佳的男性LUTS管理需要整合主观症状评估和客观空白参数评估.
- 乌罗手测试提供了一种非侵入性方法,用于获得客观的空化参数.
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