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中华腔镜泌尿外科杂志(电子版) ›› 2026, Vol. 20 ›› Issue (05) : 566 -572. doi: 10.3877/cma.j.issn.1674-3253.2026.05.012

综述

共病模式下前列腺增生下尿路症状研究进展
秦晨1, 刘荣耀2,†()   
  1. 1030000　太原，山西医科大学第十一临床医学院
    2033000　山西，吕梁市第一人民医院泌尿外科
  • 收稿日期:2025-06-30 出版日期:2026-10-01
  • 通信作者: 刘荣耀
  • 基金资助:
    山西省卫生健康委员会"四个一批"科技兴医创新计划(2022XM22); 吴阶平医学基金会临床科研专项(320.6750.2022-02-40)

Research progress of lower urinary tract symptoms of benign prostatic hyperplasia in comorbidity mode

Chen Qin1, Rongyao Liu2,†()   

  1. 1The Eleventh Clinical Medical School of Shanxi Medical University, Taiyuan 030000, China
    2Department of Urology, the first People's Hospital of Lvliang City, Shanxi 033000, China
  • Received:2025-06-30 Published:2026-10-01
  • Corresponding author: Rongyao Liu
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引用本文：

秦晨, 刘荣耀. 共病模式下前列腺增生下尿路症状研究进展[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2026, 20(05): 566-572.

Chen Qin, Rongyao Liu. Research progress of lower urinary tract symptoms of benign prostatic hyperplasia in comorbidity mode[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2026, 20(05): 566-572.

前列腺增生（BPH）和心血管疾病（CVD）是中老年男性的常见病，其患病率均随着年龄的增长而显著上升。BPH通常表现为下尿路症状（LUTS），大多数患者在接受积极的外科手术干预后LUTS会显著改善。然而术后随访显示，合并CVD危险因素的BPH患者术后LUTS的改善状况不容乐观。本文通过阐述CVD各危险因素（高血压、糖尿病、肥胖、高脂血症）在BPH发生发展中的作用，进一步探讨合并CVD危险因素的BPH相关LUTS的研究现状，以期通过针对性的干预措施，为合并CVD危险因素的BPH患者LUTS的预防和治疗提供一定的参考依据。

关键词: 前列腺增生, 心血管疾病, 代谢综合征, 下尿路症状

Benign prostatic hyperplasia (BPH) and cardiovascular diseases (CVD) are common in middle-aged and elderly men, and the prevalence of these diseases increases significantly with the increase of age. BPH is usually characterized by lower urinary tract symptoms, and most patients showed a significant improvement in LUTS after receiving active surgical intervention. However, postoperative follow-up showed that patients with BPH combined with CVD risk factors had poor improvement in LUTS after surgery. This article discusses the role of each risk factor, including hypertension, diabetes, obesity and hyperlipidemia, in the development and progression of BPH, and further explores the current research status of LUTS in BPH patients with co-existing CVD risk factors, with the aim of providing certain reference for the prevention and treatment of LUTS in BPH patients with CVD through targeted intervention measures.

Key words: Benign prostatic hyperplasia, Cardiovascular diseases, Metabolic syndrome, Lower urinary tract symptoms
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