中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
17期
134-136,137
,共4页
王冰峰%唐化勇%王立国%张万生
王冰峰%唐化勇%王立國%張萬生
왕빙봉%당화용%왕입국%장만생
尿流动力学%前列腺增生%膀胱出口梗阻%临床意义
尿流動力學%前列腺增生%膀胱齣口梗阻%臨床意義
뇨류동역학%전렬선증생%방광출구경조%림상의의
Urodynamics%Prostatic hyperplasia%Bladder outlet obstruction%Clinical significance
目的：探讨尿流动力学在前列腺增生患者术前检查的意义，从而为临床患者的诊治提供借鉴参考。方法：随机选取2012年9月-2013年2月本院收治的前列腺增生患者106例作为研究对象，手术前，对患者实施尿流率、尿道压、充盈膀胱测压、逼尿肌功能等尿流动力学检查，根据检查结果给予不同方法治疗，观察治疗效果。结果：106例患者中，不稳定膀胱6例，膀胱逼尿肌乏力11例，低顺应性膀胱33例，神经源性膀胱4例，逼尿肌亢进3例；尿流率检查91例（15例患者无法自解小便未行尿流率检查），Qmax在3~10 mL/s为71例，Qmax在10~15 mL/s为16例，Qmax>15 mL/s为4例；95例患者在尿道压检查中出现异常，其中膀胱出口梗阻89例，尿道狭窄6例。患者治疗前后的尿流动力学参数比较差异均有统计学意义（P<0.05）。结论：前列腺增生患者术前进行尿流动力学检查能比较客观地反映患者膀胱尿道功能状况，对于合理选择治疗方法，提高疗效意义重大，值得在临床上大力推广及应用。
目的：探討尿流動力學在前列腺增生患者術前檢查的意義，從而為臨床患者的診治提供藉鑒參攷。方法：隨機選取2012年9月-2013年2月本院收治的前列腺增生患者106例作為研究對象，手術前，對患者實施尿流率、尿道壓、充盈膀胱測壓、逼尿肌功能等尿流動力學檢查，根據檢查結果給予不同方法治療，觀察治療效果。結果：106例患者中，不穩定膀胱6例，膀胱逼尿肌乏力11例，低順應性膀胱33例，神經源性膀胱4例，逼尿肌亢進3例；尿流率檢查91例（15例患者無法自解小便未行尿流率檢查），Qmax在3~10 mL/s為71例，Qmax在10~15 mL/s為16例，Qmax>15 mL/s為4例；95例患者在尿道壓檢查中齣現異常，其中膀胱齣口梗阻89例，尿道狹窄6例。患者治療前後的尿流動力學參數比較差異均有統計學意義（P<0.05）。結論：前列腺增生患者術前進行尿流動力學檢查能比較客觀地反映患者膀胱尿道功能狀況，對于閤理選擇治療方法，提高療效意義重大，值得在臨床上大力推廣及應用。
목적：탐토뇨류동역학재전렬선증생환자술전검사적의의，종이위림상환자적진치제공차감삼고。방법：수궤선취2012년9월-2013년2월본원수치적전렬선증생환자106례작위연구대상，수술전，대환자실시뇨류솔、뇨도압、충영방광측압、핍뇨기공능등뇨류동역학검사，근거검사결과급여불동방법치료，관찰치료효과。결과：106례환자중，불은정방광6례，방광핍뇨기핍력11례，저순응성방광33례，신경원성방광4례，핍뇨기항진3례；뇨류솔검사91례（15례환자무법자해소편미행뇨류솔검사），Qmax재3~10 mL/s위71례，Qmax재10~15 mL/s위16례，Qmax>15 mL/s위4례；95례환자재뇨도압검사중출현이상，기중방광출구경조89례，뇨도협착6례。환자치료전후적뇨류동역학삼수비교차이균유통계학의의（P<0.05）。결론：전렬선증생환자술전진행뇨류동역학검사능비교객관지반영환자방광뇨도공능상황，대우합리선택치료방법，제고료효의의중대，치득재림상상대력추엄급응용。
Objective:To investigate the clinical significance of preoperative urodynamic study of BPH patients, so as to provide references for clinical diagnosis and treatment of patients.Method:106 cases of BPH treated in our hospital from September 2012 to February 2013 were randomly selected for the study,these patients were given different methods of treatment according to test results of urinary flow rate,urethral pressure,filling cystometry,detrusor function urodynamic studies before surgery.Result:Among the 106 patients,bladder instability were 6 cases,detrusor weakness were 11 cases,low compliance bladder were 33 cases,neurogenic bladder were 4 cases,detrusor hyperactivity were 3 cases;91 cases were checked flow rate(15 cases who were unable to self-examination did not undergo urine flow rate), Qmax of 71 cases were 3-10 mL/s room,16 cases 10-15 mL/s,4 cases Qmax>15 mL/s;95 cases had abnormal urethral pressure checks,including 89 cases were bladder outlet obstruction,6 cases were urethral stricture. Before and after treatment,the urinary flow mechanics parameters of the patients were compared,the differences had statistical significance (P<0.05).Conclusion:Urodynamic studies conducted before surgery can reflect the functional status of benign prostatic hyperplasia patients objectively,it has great significance for reasonable choice of treatment methods and improvement of the efficacy,so is worthy of promoting and application in clinical practice.
