中华泌尿外科杂志
中華泌尿外科雜誌
중화비뇨외과잡지
CHINESE JOURNAL OF UROLOGY
2011年
8期
539-541
,共3页
陈山%刘丹%乔庐东%刘跃新%张光银%郑宇朋%王伟%闫伟
陳山%劉丹%喬廬東%劉躍新%張光銀%鄭宇朋%王偉%閆偉
진산%류단%교려동%류약신%장광은%정우붕%왕위%염위
良性前列腺增生%膀胱出口梗阻%膀胱小梁形成%超声检查
良性前列腺增生%膀胱齣口梗阻%膀胱小樑形成%超聲檢查
량성전렬선증생%방광출구경조%방광소량형성%초성검사
Benign prostatic hyperplasia%Bladder outlet obstruction%Bladder trabeculation%Ultrasonography
目的 探讨良性前列腺增生(BPH)患者B超检查发现膀胱小梁形成在判断膀胱出口梗阻程度及膀胱功能状态中的作用.方法 前瞻性比较BPH经腹B超检查显示有膀胱小梁形成与无膀胱小梁形成2组患者临床资料及尿动力学检查参数.结果 有膀胱小梁形成BPH患者36例,无膀胱小梁形成患者68例,年龄分别为(73.7±10.1)岁和(69.6±6.2)岁,国际前列腺症状评分分别为(24.4±6.6)分和(22.8±8.3)分,2组比较差异无统计学意义(P＞0.05);2组最大尿流率时逼尿肌压力分别为(131.7±57.3)cm H2O(1 cm H2O=0.098 kPa)和(92.1±47.8)cm H2O,线性被动尿道阻力关系梗阻程度分级分别为4.6±1.1和3.5±1.5,2组比较差异有统计学意义(P＜0.05);72.2%(26/36)的小梁形成患者膀胱顺应性减低,其中23.1%(6/26)出现双肾积水,造成肾功能损害;无小梁形成组分别为42.6%(29/68)和10.3%(3/29),2组比较差异具有统计学意义(P＜0.05).结论 BPH患者B超检查发现膀胱小梁形成,提示存在膀胱出口梗阻,上尿路积水风险增大;无尿潴留者,膀胱小梁形成提示膀胱功能尚处于代偿期,应及时解除梗阻,有利于膀胱功能恢复,减少并发症的发生.
目的 探討良性前列腺增生(BPH)患者B超檢查髮現膀胱小樑形成在判斷膀胱齣口梗阻程度及膀胱功能狀態中的作用.方法 前瞻性比較BPH經腹B超檢查顯示有膀胱小樑形成與無膀胱小樑形成2組患者臨床資料及尿動力學檢查參數.結果 有膀胱小樑形成BPH患者36例,無膀胱小樑形成患者68例,年齡分彆為(73.7±10.1)歲和(69.6±6.2)歲,國際前列腺癥狀評分分彆為(24.4±6.6)分和(22.8±8.3)分,2組比較差異無統計學意義(P＞0.05);2組最大尿流率時逼尿肌壓力分彆為(131.7±57.3)cm H2O(1 cm H2O=0.098 kPa)和(92.1±47.8)cm H2O,線性被動尿道阻力關繫梗阻程度分級分彆為4.6±1.1和3.5±1.5,2組比較差異有統計學意義(P＜0.05);72.2%(26/36)的小樑形成患者膀胱順應性減低,其中23.1%(6/26)齣現雙腎積水,造成腎功能損害;無小樑形成組分彆為42.6%(29/68)和10.3%(3/29),2組比較差異具有統計學意義(P＜0.05).結論 BPH患者B超檢查髮現膀胱小樑形成,提示存在膀胱齣口梗阻,上尿路積水風險增大;無尿潴留者,膀胱小樑形成提示膀胱功能尚處于代償期,應及時解除梗阻,有利于膀胱功能恢複,減少併髮癥的髮生.
목적 탐토량성전렬선증생(BPH)환자B초검사발현방광소량형성재판단방광출구경조정도급방광공능상태중적작용.방법 전첨성비교BPH경복B초검사현시유방광소량형성여무방광소량형성2조환자림상자료급뇨동역학검사삼수.결과 유방광소량형성BPH환자36례,무방광소량형성환자68례,년령분별위(73.7±10.1)세화(69.6±6.2)세,국제전렬선증상평분분별위(24.4±6.6)분화(22.8±8.3)분,2조비교차이무통계학의의(P＞0.05);2조최대뇨류솔시핍뇨기압력분별위(131.7±57.3)cm H2O(1 cm H2O=0.098 kPa)화(92.1±47.8)cm H2O,선성피동뇨도조력관계경조정도분급분별위4.6±1.1화3.5±1.5,2조비교차이유통계학의의(P＜0.05);72.2%(26/36)적소량형성환자방광순응성감저,기중23.1%(6/26)출현쌍신적수,조성신공능손해;무소량형성조분별위42.6%(29/68)화10.3%(3/29),2조비교차이구유통계학의의(P＜0.05).결론 BPH환자B초검사발현방광소량형성,제시존재방광출구경조,상뇨로적수풍험증대;무뇨저류자,방광소량형성제시방광공능상처우대상기,응급시해제경조,유리우방광공능회복,감소병발증적발생.
Objective To study the role of B-mode ultrasound found bladder trabeculation in evaluating the degree of bladder outlet obstruction (BOO) and the bladder function in benign prostatic hyperplasia (BPH) patients.Methods Conducted prospective research to determine differences in clinical data and urodynamic parameters between BPH patients with and without bladder trabeculation diagnosed by abdominal ultrasound.Results Thirty-six BPH patients with bladder trabeculation were compared with 68 BPH patients without bladder trabeculation.The mean age was (73.7 ± 10.1 ) years for the patients with bladder trabeculation and ( 69.6 ± 6.2 ) years without bladder trabeculation, IPSS was 24.4 ± 6.6 and 22.8 ± 8.3 respectively, in which no significant differences were found ( P ＞ 0.05 ).The detrusor pressure at maximum flow rate was ( 131.7 ± 57.3 ) cm H20 and (92.1 ± 47.8 )cm H2O ) respectively.The linearized passive urethral resistance relation was 4.6 :± 1.1 and 3.5 ± 1.5 respectively, showing a significant difference ( P ＜.05 ) between the two groups.Seventy-two point two percent (26/36) of the patients with bladder trabeculation had a low compliance bladder, among whom 23.1% (6/26) of the patients had bilateral hydronephrosis with renal insufficiency.The percentage for the control group was 42.6% (29/68) and 10.3% (3/29) respectively (P ＜ 0.05).Conclusions The bladder trabeculation found by B-ultrasound in BPH patients suggests the existence of BOO and a high risk of bilateral hydronephrosis.Bladder trabeculation in patients without urinary retention suggests they are in compensation status.Relief of the obstruction is helpful to recovery of bladder function and the reduction of complications.
