在良性前列腺增生症中,排骨壁厚度 (DWT) 与下泌尿道症状严重程度的关联:一个横截面研究
Kishor Bhattarai1, Hensan Khadka1, Bikash Raj Thapa1
1Department of Radiology, National Academy of Medical Sciences, Kathmandu, Nepal.
Annals of medicine and surgery (2012)
|June 7, 2024
概括
通过超声波测量体壁厚度 (DWT),可以有效地评估患有良性前列腺增生症的男性下泌尿道症状 (LUTS) 的严重程度. 这种非侵入性方法与症状得分相关性很好,为侵入性泌尿动力学研究提供了有价值的替代方案.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗成像医学成像
- 诊断技术 诊断技术
背景情况:
- 良性前列腺增生 (BPH) 导致下泌尿道症状 (LUTS) 和膀出口阻塞.
- 尿动力学研究是 LUTS 评估的侵入性和资源密集型.
- 通过超声波测量除器壁厚度 (DWT) 是一种潜在的经济有效的替代方案.
研究的目的:
- 为了评估 transabdominal 超声波检测到的DWT在评估 BPH 的男性 LUTS 严重性的有效性.
- 为了确定DWT和LUTS之间的相关性,用IPSS测量的严重程度.
- 建立DWT作为BPH相关的LUTS的非侵入性诊断工具.
主要方法:
- 对171名患有LUTS的男性患者进行了前性横截面研究.
- 跨腹腔超声波用于测量体壁厚度 (DWT).
- 国际前列腺症状评分 (IPSS) 用于评估LUTS的严重程度.
- 皮尔森的相关性和独立样本 t 试验用于统计分析.
主要成果:
- 在DWT和LUTS严重程度 (IPSS) 之间发现了强烈的正相关性 (r=0.697,P<0.001).
- 在轻度 (1.64±0.38毫米) 和中度至重度 (2.4±0.43毫米) 症状组之间观察到平均DWT的显著差异 (P<0.001).
- 平均IPSS得分为4±2.12对轻度症状和15.93±6.74对中度至重度症状.
结论:
- 通过腹腔超声波检测到的DWT是一种有价值的,非侵入性的工具,用于评估BPH男性的LUTS严重程度.
- DWT测量为泌尿动力学研究提供了一种可重复和具有成本效益的替代方案.
- 这种方法有助于量化LUTS的严重程度,并指导临床管理.
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