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山东大学学报(医学版)

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前列腺增生症患者逼尿肌中转化生长因子的变化及其意义

韩增篪1,徐忠华1,刘 犇2,阎 磊1,周尊林1,陈修德1,刘海南1,刘照旭1,范医东1,郑宝钟1   

  1. 1. 山东大学齐鲁医院泌尿外科,山东 济南 250012;2. 浙江大学医学院第一附属医院泌尿外科,浙江 杭州 310003
  • 收稿日期:2006-05-15 修回日期:1900-01-01 出版日期:2007-01-24 发布日期:2007-01-24
  • 通讯作者: 徐忠华

Changes of transforming growth factor-β of human detrusor after bladder outlet obstruction induced by benign prostatic hyperplasia

HAN Zeng-chi1,XU Zhong-hua1,LIU Ben2,YAN Lei1,ZHOU Zun-lin1,CHEN Xiu-de1,LIU Hai-nan1,LIU Zhao-xu1,FAN Yi-dong1,ZHENG Bao-zhong1   

  1. 1. Department of Urology, Qilu Hospital of Shandong University, Jinan 250012;2. Department of Urology, First Affiliated Hospital, School of Medicine, Zhejiang University Hangzhou 310003
  • Received:2006-05-15 Revised:1900-01-01 Online:2007-01-24 Published:2007-01-24
  • Contact: XU Zhong-hua

摘要: 目的:探讨前列腺增生(benign prostatic hyperplasia ,BPH)造成患者膀胱出口梗阻(bladder outlet obstruction,BOO)后膀胱逼尿肌中转化生长因子β(transforming growth factor-β,TGF-β)的表达变化。 方法:BPH患者54例,分为逼尿肌稳定组(33例)和逼尿肌过度活动(detrusor overactivity,DO)组(21例)。对照组15例为同期在我院因膀胱癌施行开放手术的男性患者,应用免疫组化观察各组逼尿肌中TGF-β的表达。 结果:BPH患者包括逼尿肌稳定组与DO组TGF-β的表达水平均明显高于对照组,在对照组、逼尿肌稳定组、DO组之间两两比较差异均有统计学意义(P<0.01)。 结论:BPH造成BOO后逼尿肌中TGF-β的表达明显增高,这种变化可能与BOO后膀胱逼尿肌纤维化及DO相关。

Abstract: Objective: To investigate the changes of human detrusor transforming growth factor -β(TGF-β) after bladder outlet obstruction (BOO) induced by benign prostatic hyperplasia (BPH). Methods: Obstructive detrusor stability was found in 33 patients and obstructive detrusor overactivity in 21 patients; and bladder tumor in 15 men (control) who were operated on in the same period. TGF-β was measured by immunohistochemical staining. Results: The TGF-βlevels of the obstructive groups were much higher than those in the control group. There were significant differences among the three groups (P<0.01). Conclusion: The TGF-β level is significantly higher after BOO, which might be correlated with denervation supersensitivity and detrusor overactivity.

Key words: Prostatic hyperplasia, Transforming growth factor bata, Detrusor overactivity

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  • R711.32
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