CAJ | 학술논문

目的探讨急性尿潴留产生的原因及其膀胱逼尿肌功能的改变.方法结合尿动力学检查结果回顾性分析178例急性尿潴留患者的临床资料.结果在男性患者中,年龄50岁者急性尿潴留原因主要为前列腺增生导致膀胱出口梗阻,占60.63%(77/127);年龄≤50岁者急性尿潴留原因主要为腰骶段脊椎外伤后逼尿肌收缩功能低下,占72.55%(37/51).各年龄段女性患者急性尿潴留原因皆为逼尿肌收缩功能低下;年龄50岁男性患者与同年龄段女性患者膀胱低顺应性及逼尿肌收缩功能低下比较差异有统计学意义(P<0.01),不稳定膀胱及膀胱出口梗阻比较差异亦有统计学意义(P<0.05).结论老年男性患者产生急性尿潴留的原因主要为膀胱出口梗阻;而女性及中青年男性患者急性尿潴留的原因主要以逼尿肌收缩功能低下为主,其逼尿肌收缩功能依不同的病因出现不同的改变.
목적 탐토급성뇨저류산생적원인급기방광핍뇨기공능적개변.방법 결합뇨동역학검사결과회고성분석178례급성뇨저류환자적림상자료.결과 재남성환자중,년령50세자급성뇨저류원인주요위전렬선증생도치방광출구경조,점60.63%(77/127);년령≤50세자급성뇨저류원인주요위요저단척추외상후핍뇨기수축공능저하,점72.55%(37/51).각년령단녀성환자급성뇨저류원인개위핍뇨기수축공능저하;년령50세남성환자여동년령단녀성환자방광저순응성급핍뇨기수축공능저하비교차이유통계학의의(P<0.01),불은정방광급방광출구경조비교차이역유통계학의의(P<0.05).결론 노년남성환자산생급성뇨저류적원인주요위방광출구경조;이녀성급중청년남성환자급성뇨저류적원인주요이핍뇨기수축공능저하위주,기핍뇨기수축공능의불동적병인출현불동적개변.
Objective To explore the cause of acute urinary retention (AUR) ,the functional change of bladder detrusor. Methods The clinical data in 178 patients with AUR combined with urodynamic study were retrospectively analyzed. Results In male patients,the main cause of AUR was bladder oudet obstruction(BOO) ,the percent was 60.63%(77/127) ,in age more than 50 years old patients, while, in age less than 50 years old patients,the main cause was detrusor arcflexia (DUA), the percent was 72.55% (37/51), because of trauma of Iumbosacral vertebrae. In the female patients, the main cause of AUR was DUA. Between male and female patients with age more than 50 years old, there was significant difference in the cases of low compliance and DUA (P < 0.01) ,unstable bladder and BOO (P < 0.05). Conclusions The main cause of AUR in elderly male patients is BOO, which induces low eompliance and unstable bladder. While the main cause of AUR in female patients and young-middle age male is DUA .The function of detrusor changes differently with various causes.