微创医学

目的探索前列腺增生(BPH)患者肾功能损害与膀胱残余尿相关性。方法回顾性分析接受手术治疗并经病理证实为单纯BPH的病例441例,分成A组138例(残余尿量<12 mL),B组127例(残余尿量12～50 mL),C组51例(残余尿量50～200 mL),D组126例(残余尿>200 mL)。对四组患者的血肌酐、残余尿作对照研究。结果 A、B、C、D组的血肌酐分别为(98.23±42.00)μmol/L、(121.39±82.93)μmol/L、(67.15±24.78)μmol/L和(156.15±146.38)μmol/L,差异均有统计学意义。结论随着膀胱残余尿量的增多,BPH患者肾功能损害有加重趋势。

Objective To study the relationship between bladder residual urine volume and renal function lesion in patients with benign prostatic hyperplasia( BPH) ． Methods Clinical data of 441 BPH were studied retrospectively． All the cases were divided into 4 groups: group A( 138 cases，the residual urine volume ＜ 12 ml) ， group B( 127 cases，the residual urine volume 12 － 50 ml) ， group C( 50 cases，the residual urine volume50 － 200 ml) ， and group D( 126 cases，the residual urine volume ＞ 200 ml) ． Blood serum creatinine ( Cr) and urea niteogen( BUN) were observed and compared among the four groups． Results The serum Cr in group A，group B，group C，and group D were ( 98． 23 ± 42． 00 ) μmol /L，( 121． 39 ± 82． 93 ) μmol /L， ( 67． 15 ± 24． 78) μmol /L，and( 156． 15 ± 146． 38) μmol /L， respectively． There existed statistical significant difference among all four groups． Conclusion Renal function impairment worsens with the increase of bladder residual urine volume in patients with BPH．

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