视觉和国际前列腺症状得分之间的相关性,以分级Muhimbili国家医院良性前列腺激增的下尿道症状
Joseph Martin Lori1, Meshack M Brighton2, Ally H Mwanga2
1Department of Surgery, Dar es Salaam, Muhimbili University of Health and Allied Sciences, Dar es salaam, P.O. Box 65001, Tanzania. jossylori@gmail.com.
BMC urology
|December 9, 2025
概括
视觉前列腺症状评分 (VPSS) 有效评估坦桑尼亚男性良性前列腺激增症 (BPH) 症状,与国际前列腺症状评分 (IPSS) 相对应. 即使对于文盲患者来说,VPSS也是可靠的,有助于监测BPH症状.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 良性前列腺增生症 (BPH) 的患病率随着年龄的增长而增加,并因种族而异.
- 视觉前列腺症状评分 (VPSS) 是评估下尿道症状 (LUTS) 的实用工具,特别适用于老年患者.
- 坦桑尼亚的VPSS验证和与国际前列腺症状评分 (IPSS) 的相关性尚未得到充分证实.
研究的目的:
- 为了比较国际前列腺症状评分 (IPSS) 和视觉前列腺症状评分 (VPSS) 在坦桑尼亚的BPH患者.
- 在治疗前和治疗后评估LUTS和BPH严重程度.
- 评估VPSS和IPSS在LUTS等级中的相关性.
主要方法:
- 在坦桑尼亚的Muhimbili国家医院进行了一项纵向观测研究.
- 137名BPH患者 (年龄≥40岁) 在治疗前后完成了斯瓦希里语版本的IPSS和VPSS.
- 前列腺体积通过腹腔超声波测量;统计分析使用SPSS v27.
主要成果:
- 治疗后前列腺体积显著减少 (49.0毫升至35.0毫升).
- 与IPSS (p=0.042) 不同的是,VPSS完成没有基于识字能力 (p=0.999) 的显著差异.
- 治疗后,IPSS和VPSS得分均有显著改善,并观察到强烈的相关性 (r=0.648治疗前,r=0.732治疗后).
结论:
- VPSS是一种可靠的工具,用于评估坦桑尼亚BPH患者的LUTS严重程度.
- VPSS与IPSS有很强的相关性,即使在文盲人群中也是有效的.
- 在常规的临床实践中,VPSS可用于改善BPH的症状监测和治疗结果.
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