摘要
为探讨慢性前列腺炎类综合征(CPS)患者下尿路排尿功能改变及其机理,作者对58例该类患者进行常规及动态尿动力学测定;测定项目包括尿道压力测定、充盈期膀胱压力测定、排尿期压力-流率测定及动态尿动力学监测。常规尿动力学测定结果表明:CPs患者最大尿道压力明显增高;逼尿肌不稳定、高顺应性膀胱、低顺应性膀胱及逼尿肌收缩无力发生率各为12.1%、5.2%、13.8%及6.9%;排尿期各压力及阻力指数明显增高,逼尿肌-尿道括约肌协同失调。动态尿动力学监测结果示:监测过程中,最大尿道压处于高水平状态;逼尿肌收缩时尿道外括约肌未见松驰或松驰幅度较小。说明此类患者尿道括约肌及盆底肌肉痉挛可导致功能性尿道梗阻,产生及加重排尿异常症状。
To study the urodynamic findings of chronic prostatitis syndrom(CPS), 58 patients with chronic prostatitis and prostatodynia were subjected to the urodynamic investigation that included conventional medium filling urodynamic(CMG) tests(urethral pressure profile, filling cystometry, voiding pressure-flow study) and ambulatory urodynamie monitoring(AM) by using Dantec Menuet and Urodec 500 AM system. 55 BPH patients and 20 normal men were taken as control groups. CPS patients had function bladder outflow obstruction(FBOO). FBOO resulted in the detrusor instable (DIS, 12.1%), detrusor-sphincter dysnergia (DSD, 100%) and detrusor dysconstractility (DDC, 6.9%), and resulted in clinical symptoms. FBOO resulted from the urethal sphincter spasm and DSD.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1997年第1期41-43,共3页
Chinese Journal of Surgery
