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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 ,IPSS评分也有随前列腺增大而逐渐增加的趋势
Objective To investigate the relationship between prostate size changes and prostate size changes and lower urinary tract symptoms in adult male population. Methods Retrospective diagnosis and International Prostate Symptom Questionnaire (IPSS) were used to investigate the adult male, aged 20 ~ 82 years old in natural villages, neighborhood committees, factories, administrative organs and colleges and universities in the surrounding area of East Lake in Wuhan. Results Fifteen 16 adult men underwent IPSS questionnaire and digital rectal examination simultaneously. 2 0 ~ 2 9 years old group and 3 0 ~ 40 years old group, the size of the prostate is 1 and 2. > 40-year-olds, various sizes of prostate appear in each group. The size of prostate in men of different age groups was related to age (χ2 = 300.0085, P <0.01). The size of prostate increased with age. A male with a size of 1 prostate showed an IPSS score of 3171 (77.6%) with a score of 10, and a mild to moderate number of 107 (22.4%). Prostate size 2, 3, 4 male population, IPSS score 0 to 3 5 points. The IPSS score was related to the size of the prostate (χ2 = 32.200, P <0.001). The IPSS score increased gradually with the increase of the prostate. Conclusions Prostate size tends to increase with age, and the IPSS score also tends to increase gradually with prostate enlargement