摘要
目的探讨直肠癌术后排尿异常的病因及治疗方法。方法36例患者均采用丹麦Dantec Duetlogic尿动力仪进行尿动力学检查,并根据不同检查结果给予相应的治疗。结果36例患者中逼尿肌收缩力减弱者25例,其中24例经治疗在3个月后恢复排尿功能,仍有1例患者逼尿肌无反射,予以膀胱造瘘。逼尿肌不稳定(DI)者8例,膀胱出口梗阻2例,经治疗后症状都明显改善。结论对直肠癌根治术后出现排尿异常患者进行尿动力学检查明确病因,并给予相应的治疗可明显提高治疗效果。
Objective To investigate the urodynamics of paruria after radical resection of rectal carcinoma. Methods Thirty six patients, who received radical resection of rectal carcinoma, underwent urodynamic examination with Dantec Duetlogic urodynamic meter. The corresponding therapy was performed according to the examination results. Results Urodynamic examination showed reduced detrusor muscle contraction force in 25 patients, in which 24 recovered uresis function after 3-month therapy, one case received bladder stoma due to detrusor are-flexia. Eight patients presented destrusor muscle instability and 2 had bladder outlet obstruction. The symptoms of these patients were improved after therapy. Conclusion Urodynamic examination is effective to identify causes of paruria in patients with rectal carcinoma after radical resection, and then the corresponding therapy can be followed.
出处
《实用肿瘤杂志》
CAS
2008年第2期162-164,共3页
Journal of Practical Oncology
关键词
直肠肿瘤/外科学
尿动力学
排尿障碍
手术后期间
手术后合并症
rectal neoplasms/surgery
urodynamics
urination disorders
postoperative period
postoperative complications
