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目的调查健康体检人群前列腺增生、前列腺钙化灶、前列腺结石和囊肿等发病现状。方法采用国际前列腺症状评分问卷表(IPSS)和超声检查对2842名健康体检男性的前列腺状况作出评估。结果 2842例受检者中,总患病1740例(61.23%),前列腺增生1429例(50.28%),前列腺钙化灶690例(24.28%),前列腺结石83例(2.92%),前列腺囊肿42例(1.48%),其中444例(15.62%)同时患有两种或两种以上的前列腺疾病,IPSS平均评分为5.58±0.45。研究对象分为8个年龄组:20~29岁126例,30~39岁218例,40~49岁304例,50~59岁896例,60~69岁360例,70~79岁528例,80~89岁376例,90岁以上34例。前列腺增生比例分别为:0.79%,10.25%,19.40%,41.51%,66.38%,83.14%,75.53%,67.47%,IPSS评分分别为:2.56±3.34,4.46±5.36,4.76±5.45,5.86±6.26,6.79±6.37,7.69±7.43,7.98±8.31,8.39±6.56。结论前列腺疾病及症状在健康男性中普遍存在,随年龄增高,症状评分及前列腺疾病比例逐渐上升,通过健康体检可有效检出前列腺病变,应引起人们重视。
Objective To investigate the prevalence of benign prostatic hyperplasia, prostatic calcification, prostatic calculi and cysts in health examination population. Methods The prostate health status of 2842 healthy men was assessed by International Prostate Symptom Score Questionnaire (IPSS) and ultrasound examinations. Results Of the 2842 subjects, 1740 (61.23%) had total disease, 1429 (50.28%) had benign prostatic hyperplasia, 690 (24.28%) had prostate calcification, 83 (2.92%) had prostate stones, and 42 (1.48%), of which 444 (15.62%) had two or more prostate diseases at the same time, with an average IPSS of 5.58 ± 0.45. The subjects were divided into 8 age groups: 126 cases of 20-29 years old, 218 cases of 30-39 years old, 304 cases of 40-49 years old, 896 cases of 50-59 years old, 360 cases of 60-69 years old, 528 cases of 70-79 years old , 37 cases of 80 to 89 years old, 34 cases over 90 years old. The proportion of benign prostatic hyperplasia was 0.79%, 10.25%, 19.40%, 41.51%, 66.38%, 83.14%, 75.53%, 67.47% respectively. The IPSS scores were 2.56 ± 3.34, 4.46 ± 5.36, 4.76 ± 5.45, 5.86 ± 6.26 , 6.79 ± 6.37, 7.69 ± 7.43, 7.98 ± 8.31, 8.39 ± 6.56. Conclusions Prostate diseases and symptoms are prevalent in healthy males. With increasing age, the scores of symptoms and the proportion of prostatic diseases gradually increase. Prostate lesions can be detected effectively by physical examination, which should be paid more attention to.