摘要
目的:探讨简易膀胱测压法在良性前列腺增生症(benign prostatic hyperplasia,BPH)患者行经尿道前列腺电切除术(transurethral resection of prostate,TURP)前膀胱功能评估中的作用及临床意义。方法 :通过膀胱简易测压装置,测定60例BPH患者的膀胱容量及膀胱逼尿肌的收缩力,初步筛选出适合行TURP的患者。结果:60例患者中不稳定膀胱32例(53.3%),逼尿肌活动低下5例(8.3%),逼尿肌无收缩2例(3.3%),膀胱功能正常21例(35.0%)。60例患者中低顺应性膀胱19例(31.7%),高顺应性膀胱2例(3.3%),膀胱顺应性正常39例(65.0%)。53例顺利行TURP,5例逼尿肌活动低下,行TURP并术后应用新斯的明治愈,2例无收缩,行永久性膀胱造瘘术。结论:简易膀胱测压法的临床应用,弥补了基层医院无尿流动力学检查的不足,可为TURP前膀胱功能评估、选择合适的BPH患者及预后的判断提供一定的参考依据。
Objective：To evaluate the role and clinical significance of preoperative assessment of bladder function by simple cystometry for transurethral resection of prostate（TURP）.Methods：A total 60 patients with benign prostatic hyperplasia（BPH） were detected the bladder cubic capacity and contraction force of musculus detrusor vesicae by simple cystometry for selecting the patients fiting to be given TURP treatment.Results：Among 60 cases of BPH,there were 32 cases of unstable bladder（53.3%）,5 cases of detrusor underactivity（8.3%）,2 cases of detrusor asystole（3.3%） and 21 cases of normal bladders（35.0%）.There were 19 cases of low complicance bladders（31.7%）,2 cases of high complicance bladders（3.3%） and 39 cases of normal complicance bladders（65.0%）.53 cases were smoothly performed TURP,5 cases of detrusor underactivity were healed with the use of neostigmine after TURP and 2 cases of detrusor asystole were treated with permanent cystostomy.Conclusion：The clinical use of simple cystometry can remedy the shortage of urodynamic detection in the basic-level hospital,which may provide some reference evidences to assess preoperative bladder function,select the patients fitting to TURP treatment and judge prognosis in BPH.
出处
《现代医药卫生》
2011年第23期3549-3550,共2页
Journal of Modern Medicine & Health
关键词
前列腺增生症
膀胱功能
膀胱测压
Benign prostatic hyperplasia
Bladder function
Simple cystometry
