CAJ | 학술논문

目的比较女性排尿困难患者的尿动力学诊断分型在不同年龄组的差别.方法 1997年3月至2008年7月,门诊以排尿困难为主诉的女性患者616例,无神经系统病史和下尿路手术史,行膀胱压力-流率测定及自由尿流率检查,按3个年龄组统计诊断分型.结果在>18且≤40岁、>40且≤60岁及60岁以上3个年龄组中,膀胱出口梗阻的比例均较高,分别为54.8% 、59.1% 和45.0% .逼尿肌过度活动、逼尿肌肌力弱、正常三项尿动力学检查结果在3组间无显著性差异,而膀胱出口梗阻、逼尿肌无反射两项分布有显著性差异.将>18且≤加岁组与>40且≤60岁组合并形成的中青年组与60岁以上的老年组比较,膀胱出口梗阻、逼尿肌无反射、逼尿肌肌力弱三项有显著性差异,膀胱出口梗阻在两组的比例为57.3% 和45.0% ,逼尿肌无反射在两组的比例为15.6% 和23.9% ,逼尿肌肌力弱在两组的比例为17.4% 和25.0% .在逼尿肌肌力弱患者中,存在膀胱感觉减退的比例在老年组中明显升高.结论女性排尿困难患者的尿动力学诊断中,膀胱出121梗阻的比例最高,其比例在老年患者中有所下降,而逼尿肌无反射和逼尿肌肌力弱的比例在老年患者中增高.
목적 비교녀성배뇨곤난환자적뇨동역학진단분형재불동년령조적차별.방법 1997년3월지2008년7월,문진이배뇨곤난위주소적녀성환자616례,무신경계통병사화하뇨로수술사,행방광압력-류솔측정급자유뇨류솔검사,안3개년령조통계진단분형.결과 재>18차≤40세、>40차≤60세급60세이상3개년령조중,방광출구경조적비례균교고,분별위54.8% 、59.1% 화45.0% .핍뇨기과도활동、핍뇨기기력약、정상삼항뇨동역학검사결과 재3조간무현저성차이,이방광출구경조、핍뇨기무반사량항분포유현저성차이.장>18차≤가세조여>40차≤60세조합병형성적중청년조여60세이상적노년조비교,방광출구경조、핍뇨기무반사、핍뇨기기력약삼항유현저성차이,방광출구경조재량조적비례위57.3% 화45.0% ,핍뇨기무반사재량조적비례위15.6% 화23.9% ,핍뇨기기력약재량조적비례위17.4% 화25.0% .재핍뇨기기력약환자중,존재방광감각감퇴적비례재노년조중명현승고.결론 녀성배뇨곤난환자적뇨동역학진단중,방광출121경조적비례최고,기비례재노년환자중유소하강,이핍뇨기무반사화핍뇨기기력약적비례재노년환자중증고.
Objective To compare the urodynamic diagnostic types of dysuria in female patients of different age groups.Methods Six hundred and sixteen female patients with dysuria were evaluated from March 1997 to July 2008.No patients had history of nervous system disease and history of lower urinary tract operations.They had detruser pressure-flow studies and uroflowmetry.The urodynamic diagnostic types were analyzed in 3 different age groups.Results In 3 groups of 18-40 years, 40-60 years and ≥60 years, the diagnosis of bladder outlet obstruction (BOO) had the highest proportion (54.8% , 59.1% and 45.0% respectively).The distribution of detrasor overaetivity, detrasor underactivity and normal ftmetion had no significant differenee between 3 groups.The distribution of BOO and aeontraetile detrusor had significantly difference between 3 groups.When groups of 18-40 years and 40-60 years were combined into 18-60 years group and compared with the older group, the proportion of BOO, aeontraetile detmsor and detrusor underaetivity showed significantly differenee.The proportions of BOO in the two groups were 57.3% and 45.0% , aeontraetile detrusor 15.6% and 23.9% , detrnsor underaetivity 17.4% and 25.0% , respectively.The proportion of reduced bladder sensation among detrusor underaetivity patients in the older group was significantly higher.Conclusions In the uradynamie diagnoses of voiding difficulty in female patients,bladder outlet obstruction has the highest proportion.This proportion decreases in the older patients.The proportion of aeontraetile detrusor and detrusor underaetivity increases in the older group.