摘要
目的 分析研究尿流动力学检查在前列腺增生（BPH）术前的诊治及术后预防膀胱痉挛中的临床意义.方法 选择2014年4月至2015年4月期间本院就诊的159例BPH患者为研究对象,在术前2d、术后2个月分别利用尿动力学测定仪对所有患者进行尿流动力学的测定.结果 治疗方法以行经尿道前列腺电切术占的比例最大,为74.84％;其次是膀胱造瘘术,占15.09％,其余的所占比例均较小.治疗前患者的膀胱出口梗阻指数（BOOI）、最大尿道压、Qmax、BC、PVR、Pdet-Qmax、VMCC、IPSS等8项尿流动力学参数在治疗后均得到不同程度的缓解,效果具有显著性（P＜0.05）.治疗后发生膀胱痉挛的患者有54例,占总患者例数的33.96％.在膀胱痉挛患者中,低顺应性膀胱患者的发生率为35.19％,不稳定膀胱患者的发生率为50.00％,远高于逼尿肌收缩异常组和正常组.结论 尿流动力学的检查是对BPH患者的诊断、治疗及预后的客观依据,值得临床推广应用.
Objectives To investigate the clinical significance of urodynamic study of the preoperative diagnosis and treatment about benign prostate hyperplasia and postoperative prevention of bladder spasm.Methods 159 cases of BPH patients treated in our hospital from April 2014 to April 2015 were selected for the study,for use in urodynamic of all patients were measured respectively by urodynamic analyzer in the preoperative two days and postoperative two months.Results Transurethral resection of the prostate accounted for the largest proportion of 74.84%,cystostomy followed,accounting for 15.09,and the rest accounted for small proportion.BOOI,maximum urethral pressure,Qmax,BC,PVR,Pdet-Qmax,VMCC,IPSS and other eight urodynamic parameters were obtained with varying degrees ease after treatment,the effect was significant （P 〈 0.05）.After treatment,54 cases of patients behaved bladder spasm and accounted for 33.96% in the total cases.In patients with bladder spasm,incidence of patients with low compliance bladder was 35.19%,patients with unstable bladder was 50.00%,and were far higher than the abnormal detrusor contraction and normal group.Conclusions Urodynamic inspection findings of BPH patients is the objective evidence for diagnosis,treatment and prognosis,and are worthy of clinical application and promotion.
出处
《国际泌尿系统杂志》
2016年第3期350-352,共3页
International Journal of Urology and Nephrology
关键词
前列腺增生
尿动力学
膀胱
痉挛
Prostatic Hyperplasia
Urodynamics
Urinary Bladder
Spasm
