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对100例前列腺增生(BPH)患者的前列腺体积、年龄、血清前列腺特异抗原(PSA)、抗原密度(PSAD)进行多元回归与相关分析。结果:年龄和前列腺体积均与血清PSA浓度显著相关(P<0.01),其中,体积与PSA之间和年龄与体积之间具有相关性(P<0.001、P<0.05),而年龄与PSA之间无相关性(P>0.05),体积每增加10cm3,PSA增高0.9μg/L。PSAD不受前列腺体积的影响(P>0.05),有82%的BPH患者在正常范围内,其中24例PSA在4~10μg/L的患者有18例PSAD≤0.2。血清PSA浓度主要受前列腺体积影响,年龄的影响是通过对体积的影响而间接引起的,PSAD可以消除前列腺体积的影响,在评价PSA浓度轻度增高时有更高的特异性。
Prostate volume, age, serum PSA and PSAD in 100 patients with benign prostatic hyperplasia (BPH) were analyzed by multiple regression and correlation analysis. RESULTS: Both age and prostate volume were significantly associated with serum PSA levels (P <0.01), with correlation between volume and PSA and between age and volume (P <0.001, P <0.05) , While there was no correlation between age and PSA (P> 0.05). The volume of PSA increased by 0.9μg / L for every 10cm3 increase. PSAD was not affected by prostate volume (P> 0.05), and 82% of BPH patients were in the normal range. Among them, PSAD≤0.2 in 18 of 24 patients with PSA ranging from 4 to 10 μg / L. Serum PSA concentration is mainly influenced by prostate volume. The effect of age is indirectly caused by the influence on volume. PSAD can eliminate the influence of prostate volume and has higher specificity in assessing mild increase of PSA concentration.