武汉市成年男性直肠指诊前列腺大小调查

A survey of the volume of the prostate with digital rectal examination in adult male over 20 years old

目的 了解成年男性人群前列腺大小变化情况和前列腺大小变化与下尿路症状之间的关系。方法 采用直肠指诊和国际前列腺症状评分调查问卷 (IPSS) ,调查武汉市东湖周边地区自然村、街道居委会、工厂、行政机关和高校成年男性 ,年龄 2 0～ 82岁。结果 15 16名成年男性同时进行和接受了IPSS问卷调查和直肠指诊。 2 0～ 2 9岁组和 3 0～ 40岁组 ,前列腺大小为 1级和 2级。 >40岁人群 ,各组前列腺大小出现各种等级。不同年龄组男性前列腺大小与年龄有关 ( χ2 =3 0 0 .85 5 ,P <0 .0 0 1) ,前列腺大小有随年龄增长而增大的趋势。前列腺大小 1级男性人群 ,IPSS评分 0分人数 3 71名 ( 77.6% ) ,轻中度人数 10 7名 ( 2 2 .4% )。前列腺大小 2级、3级、4级男性人群 ,IPSS评分 0～ 3 5分不等。IPSS评分与前列腺的大小有关 ( χ2 =3 2 1.2 0 0 ,P <0 .0 0 1) ,IPSS评分有随前列腺增大而逐渐增加的趋势。结论 前列腺大小有随年龄增长而增大的趋势 。

Objectives To survey volume change of the prostate with digital rectal examination, and to assess a correlation of lower urinary tract symptoms (LUTS) and volume of the prostate in adult male.Methods A random sample,stratified by age groups of 10 years,was obtained for men 20 years and older.Frequency of symptoms and bothersomeness of symptoms were assessed using the International Prostate Symptom Score (IPSS).Volume of the prostate was assessed by digital rectal examination.Results Sum of receptors was 1516 males.Volumes of the prostate were level 1 and level 2 with men in the 20 to 29 years age group and the 30 to 39 years age group,level 1,level 2,level 3 and level 4 for men aged 40 to 82 years.A good correlation was found between volumes of the prostate and age groups (χ 2=300.855,P>0.001) in adult male.Symptom scores of 371 (77.6%) men in the level 1 group recorded 0,107(22.4%)men recorded 1-19.Symptom scores with men in the level 2,level 3 and level 4 groups recorded 0-35.A good correlation was found between the total symptom score and volumes of the prostate (χ 2=321.200,P>0.001) in adult male.Conclusion Good correlations were found between volumes of the prostate and age groups,and between the total symptom score and volumes of the prostate in adult male.