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目的探讨单纯前列腺增生(BPH)与合并慢性前列腺炎(CP)患者在临床特点上的差异。方法回顾性分析2005年至2010年于我院行经尿道前列腺电切术(TURP)术治疗的BPH患者,按照是否合并CP,分为单纯BPH组和合并CP组两组,采用SPSS 1 7.0软件进行统计学分析,比较两组患者在年龄、临床症状、前列腺体积、国际前列腺症状评分(IPSS)、PSA等指标上是否存在差异。结果 288例BPH患者中合并CP有63例。单纯BPH患者多因尿频、排尿困难入院,而合并有CP的BPH患者中有79.6%因疼痛或终末尿滴沥入院;虽然合并CP患者较单纯BPH患者发病年龄更高、前列腺体积更大、PSA更高,但差异无统计学意义;合并CP患者较单纯BPH患者IPSS更高,差异有统计学意义。结论有无疼痛或终末尿滴沥及IPSS高低是临床鉴别单纯BPH患者与合并CP的BPH患者的重要指标;在IPSS评分大于25分时应警惕前列腺炎的存在。
Objective To investigate the clinical characteristics of patients with pure prostatic hyperplasia (BPH) and chronic prostatitis (CP). Methods The BPH patients undergoing transurethral resection of the prostate (TURP) surgery in our hospital from 2005 to 2010 were retrospectively analyzed. According to whether CP was combined, the patients were divided into two groups: pure BPH group and combined CP group. SPSS 1 7.0 software was used Statistical analysis was conducted to compare the differences in age, clinical symptoms, prostate volume, IPSS, PSA and other indicators between the two groups. Results Among the 288 patients with BPH, 63 were complicated with CP. Patients with pure BPH were frequently hospitalized due to frequent urination and dysuria, whereas 79.6% of patients with CPH complicated with CP leaped into the hospital due to pain or terminal urinary drip. Although the patients with CP had higher age and prostate volume than those with pure BPH, PSA But the difference was not statistically significant. Patients with CP had higher IPSS than those with pure BPH, the difference was statistically significant. Conclusions The presence or absence of pain or terminal urinary drip leaching and IPSS level is an important index for clinically identifying patients with BPH and CPH with CP. Clinicians should pay attention to the presence of prostatitis when the IPSS score is greater than 25.