CAJ | 학술논문

目的探讨尿流动力学检查鉴别前列腺增生术后效果不满意原因的意义.方法对42例前列腺增生术后效果不满意的患者,按症状不同可分为排尿困难组32例和尿失禁组10例.对两组分别行尿流动力学检查,分析其结果.结果 32例排尿困难组中,逼尿肌收缩乏力8例,膀胱出口梗阻24例;10例尿失禁组中,急迫性尿失禁6例,压力性尿失禁4例.结论前列腺增生术后效果不满意的原因以梗阻和逼尿肌功能损害为主,尿流动力学检查对前列腺增生术后效果不满意的原因分析和进一步治疗具有指导意义.
목적 탐토뇨류동역학검사감별전렬선증생술후효과불만의원인적의의.방법 대42례전렬선증생술후효과불만의적환자,안증상불동가분위배뇨곤난조32례화뇨실금조10례.대량조분별행뇨류동역학검사,분석기결과.결과 32례배뇨곤난조중,핍뇨기수축핍력8례,방광출구경조24례;10례뇨실금조중,급박성뇨실금6례,압력성뇨실금4례.결론 전렬선증생술후효과불만의적원인이경조화핍뇨기공능손해위주,뇨류동역학검사대전렬선증생술후효과불만의적원인분석화진일보치료구유지도의의.
Objective To discuss the causes leading to dissatisfying result after operation therapy for BPH.Methods 42 patients who had not acquired satisfying result after operation therapy for BPH were underwent the urodynamic examination.Results 42 patients were classified into two groups according to their different symptoms:difficuhy to void,32 case8,including 8 cases with low contractifity of detrusor,and 24 cases with Madder outflow obstruction(BOO);incontinence,10 eases,including 6 cases of urgency incontinence and 4 cases of stress incontinence.Condusion We can see that the causes leading to dissatisfying resuh after operation for BPH are mainly the dysfunction of detmsor and BOO,and the result of urodynamic examine can guide us the causes and the next therapy.