CAJ | 학술논문

目的：探讨B超测定前列腺径线长度与尿动力学检测参数的相关性对临床判断膀胱出口梗阻的意义，为护理评估提供依据。方法分析良性前列腺增生引起膀胱出口梗阻115例患者，逼尿肌不稳定34例患者，膀胱过度活动症47例患者检测的前列腺B超参数与尿动力学参数的相关性，评估膀胱出口梗阻。结果膀胱出口梗阻组、逼尿肌不稳定组、膀胱过度活动症组的前列腺体积、上下径、左右径、前后径线，经单因素方差分析，差异有统计学意义（P<0.05）。年龄、最大尿流率时压力、最大逼尿肌压、膀胱出口梗阻系数，与膀胱出口梗阻组及膀胱过度活动症组前列腺三经线呈正相关（P<0.05）。结论根据B超提示前列腺体积、前列腺三径线长度、残余尿等参数，结合下尿路症状，能简便、无创、客观地评估膀胱出口梗阻患者的病情。
목적：탐토B초측정전렬선경선장도여뇨동역학검측삼수적상관성대림상판단방광출구경조적의의，위호리평고제공의거。방법분석량성전렬선증생인기방광출구경조115례환자，핍뇨기불은정34례환자，방광과도활동증47례환자검측적전렬선B초삼수여뇨동역학삼수적상관성，평고방광출구경조。결과방광출구경조조、핍뇨기불은정조、방광과도활동증조적전렬선체적、상하경、좌우경、전후경선，경단인소방차분석，차이유통계학의의（P<0.05）。년령、최대뇨류솔시압력、최대핍뇨기압、방광출구경조계수，여방광출구경조조급방광과도활동증조전렬선삼경선정정상관（P<0.05）。결론근거B초제시전렬선체적、전렬선삼경선장도、잔여뇨등삼수，결합하뇨로증상，능간편、무창、객관지평고방광출구경조환자적병정。
Objective To explore the correlation between prostatic meridians through ultrasound and parameters of urodynamics and its significance on bladder outlet obstruction (BOO) and to provide the basis for nursing assessment. Methods Totally 115 cases with BOO caused by benign prostatic hypertrophy (BPH), 34 cases with detrusor instability (DI) and 47 cases with overactive bladder syndrome (OAB) were detected by B-ultrasound. The correlation between the parameters of B-ultrasound and urodynamics was applied for the evaluation of the BOO. Results There were significant differences among PV, height, width and length of the prostate in BOO, DI and OAB group through by one-way ANOVA (P<0.05). There was positive relationship among age, pressure of the maximum urinary flow, maximum pressure of detrusor, parameters of BOO and the three dimensions of prostate(P<0.05). Conclusion It will be simple, noninvasive and objective to evaluate BOO when prostatic PV, three dimensions of prostate and residual urine are detected by B-ultrasound.