前列腺增生患者膀胱壁不同部位厚度的三维测量与分析

doi:10.13418/j.issn.1001-165x.2026.1.06

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中国临床解剖学杂志 ›› 2026, Vol. 44 ›› Issue (1) : 35-40. DOI: 10.13418/j.issn.1001-165x.2026.1.06

断层影像解剖

前列腺增生患者膀胱壁不同部位厚度的三维测量与分析

冯燕琨¹，付诗涵¹，刘洺筱¹，李晓峰¹，李家怡¹，何桂兵²，王岐本¹*

作者信息 +

Three-dimensional measurement and analysis of bladder wall thicknesses in different positions in patients with benign prostatic hyperplasia

Feng Yankun¹, Fu Shihan¹, Liu Mingxiao¹, Li Xiaofeng¹, Li Jiayi¹, He Guibing², Wang Qiben¹*

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文章历史 +

摘要

目的使用三维测量与分析的方法探究前列腺增生对膀胱壁不同部位厚度的影响。方法回顾性收集因下尿路症状首次就诊于金华市人民医院患者110例，经过纳入和排除标准，确定60例前列腺增生患者作为本研究的研究对象，根据这些患者的T2加权像核磁共振图片，构建膀胱、前列腺三维模型，在三维层面测量和分析出这些患者膀胱壁不同部位厚度与前列腺体积。结果在前列腺增生患者中，膀胱右上壁厚度为（4.47±0.81）mm, 膀胱右下壁厚度为（4.92±0.96）mm，膀胱左上壁厚度为（3.90±1.03）mm，膀胱左下壁厚度为（4.45±1.00）mm。膀胱右下壁厚度显著大于右上壁厚度（P=0.006），膀胱左下壁厚度显著大于左上壁厚度（P=0.003），60岁以上患者膀胱左下壁厚度显著大于60岁以下患者（P=0.001）。前列腺体积大于60 mL患者膀胱右下壁厚度显著大于前列腺体积小于60 mL患者（P=0.008）。膀胱左下壁厚度随国际前列腺症状评分的增加而显著增加。结论通过三维测量男性膀胱解剖学参数的定量分析，可为前列腺增生的治疗和诊断提供参考。

Abstract

Objective To explore the effect of benign prostatic hyperplasia on the thicknesses of different parts of the bladder wall using three-dimensional measurement and analysis methods. Methods 110 patients visited Jinhua People's Hospital due to lower urinary tract symptoms were collected retrospectively. According to strict inclusion and exclusion criterion, 60 patients were identified as a research object. Three-dimensional models of bladder and prostate were constructed based on the T2 weighted magnetic resonance images of these patients. The prostate volume and bladder wall thicknesses were analyzed in different parts in three-dimensional level. Results For patients with benign prostatic hyperplasia, the upper right and left bladder wall thicknesses were (4.47±0.81) mm and (3.90±1.03) mm, respectively. The lower right and left bladder wall thicknesses were (4.92±0.96) mm and (4.45±1.00) mm, respectively. The lower right and left bladder wall thicknesses were significantly greater than the upper right and left, respectively (P=0.006 and 0.003, respectively). Lower left bladder wall thicknesses in aged over 60 group was significantly greater than that in aged under 60 group (P=0.001). Lower right bladder wall thicknesses in prostate volume >60 ml group was significantly greater than that in prostate volume<60 ml group (P=0.008). Lower right bladder wall thicknesses increased significantly with the increase of international prostate symptom score. Conclusions Through quantitative analysis of the three-dimensional measurement of male bladder anatomical parameters, it can provide reference for treatment and diagnostics of prostatic hyperplasia.

导出引用

冯燕琨, 付诗涵, 刘洺筱, 李晓峰, 李家怡, 何桂兵, 王岐本. 前列腺增生患者膀胱壁不同部位厚度的三维测量与分析[J]. 中国临床解剖学杂志. 2026, 44(1): 35-40 https://doi.org/10.13418/j.issn.1001-165x.2026.1.06

Feng Yankun, Fu Shihan, Liu Mingxiao, Li Xiaofeng, Li Jiayi, He Guibing, Wang Qiben. Three-dimensional measurement and analysis of bladder wall thicknesses in different positions in patients with benign prostatic hyperplasia[J]. Chinese Journal of Clinical Anatomy. 2026, 44(1): 35-40 https://doi.org/10.13418/j.issn.1001-165x.2026.1.06

中图分类号： R322.6

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