摘要
目的:探讨尿动力学检查对良性前列腺增生患者术前评估的价值。方法:对68例患者进行完善的尿动力学检查及国际前列腺症状评分(IPSS),并对其术前、术后3～6个月的尿动力学资料及IPSS评分等进行统计学分析。结果:68例患者均存在膀胱出口梗阻,平均最大尿流率(6.45±3.5)mL/s,最大逼尿肌收缩压(68.3±49.6)cmH2O,膀胱最大容积(356±203)mL,IPSS评分(23.3±5.4)。术后3个月,排尿困难14例中逼尿肌功能未恢复12例,并发膀胱颈挛缩2例;尿失禁2例均为低顺应性膀胱和不稳定性膀胱。结论:尿动力学检查对于前列腺增生的诊断,掌握手术指征,选择治疗方法,预测治疗效果,杜绝手术盲目性,提高术后满意度,防范医疗纠纷等具有重要意义。
Objective To investigate the value of urodynamics to patients with benign prostatic hyperplasia. Methods Urodynamics and International Prostate Symptom Score （IPSS） were conducted in 68 patients. Statistic Analyses for the urodynamic data and IPSS before surgery and 3～6 months after surgery were made. Results All these 68 patients had bladder outlet obstruction, with average maximum urine flow rate （6.45±3.5 mL/s）, maximum detrusor systolic pressure （68.3±49.6 cmH2O）,maximum bladder volume （356±203 mL） and IPSS score （23.3±5.4）. Three months after surgery, among 14 patients of dysuria, 12 patient’s function of detrusor did not recovered, 2 patients had combined with spasm at bladder neck; 2 patients as urinary incontinence were both low compliance bladder and unstable bladder. Conclusion Urodynamics has significant value in the diagnosis for prostatic hyperplasia, and helping to determine the indication for surgery, choosing treatment methods and estimating treatment result, avoiding the blindness in surgery, improving the satisfaction after the surgery and preventing medical disputes.
出处
《中国中西医结合外科杂志》
CAS
2011年第1期49-51,共3页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
关键词
尿动力学
良性前列腺增生
经尿道前列腺电切术
urodynamics
benign prostatic hyperplasia
transurethral prostate resection
