摘要
目的分析经尿道前列腺电切术(TURP)后短期下尿路症状(LUTS)的尿动力学原因。方法218例行TURP术的前列腺增生患者,对术后短期存在LUTS的患者,Logistic回归分析其术前的尿动力学检查结果。术后3个月不缓解者复查尿动力学检查。结果72例患者存在下尿路症状,37例存在排尿不畅症状,Logistic回归显示,逼尿肌收缩力下降(Exp(B)=22.45,P=0.00)、残余尿量增多(Exp(B)=16.25,P=0.00)为危险因素。27例存在尿频尿急症状,Logistic回归显示,逼尿肌不稳定(Exp(B)=20.45,P=0.00)为筛选出的危险因素。8例患者伴有尿频尿急症状同时伴有排尿不畅,术前尿检查提示逼尿肌活动过度伴收缩功能受损(DHIC)。结论逼尿肌收缩力下降、残余尿量增多和逼尿肌不稳定为导致TUR-P术后短期LUTS的危险因素。
Objective To clarify the urodynamic mechanism of the lower urinary tract symptoms(LUTS)after transurethral prostatic resection of the prostate(TURP). Methods 218 patients with benign prostatic hyperplasia(BPH)were performed with TURP. We analyzed the prior Pressure-Flow micturition of the patients who had LUTS in 3 months postsurgery with logistic regression. To clarify the mechanism,we performed the Pressure-Flow micturition studies again on the patients who had no relief in symptoms more than 3 months pos...
出处
《中国医科大学学报》
CAS
CSCD
北大核心
2009年第5期351-352,共2页
Journal of China Medical University
关键词
经尿道前列腺电切术
下尿路症状
尿动力学检查
transurethral resection of the prostate
the lower urinary tract symptoms
urodynamic examination
