CAJ | 학술논문

目的：探讨尿动力学检查在指导防治前列腺增生症(BP H )患者术后膀胱颈挛缩(BNC )导致的上尿路损害中的作用。方法：回顾性分析既往收治的71例膀胱颈挛缩患者的资料,根据患者入院前2年内是否接受过尿动力学检查,分为 A 组(27例,接受过尿动力学检查组)和 B 组(44例,未接受过尿动力学检查组)。对比分析两组患者的基本资料和入院时泌尿系超声和肾功能检查结果。结果：A 组患者年龄、前列腺增生症术后时间与B 组患者相比无显著差别。此次入院时,A 组患者自由尿流率检查 Q max 显著高于 B 组,A 组患者上尿路损害的发生率显著低于 B 组。结论：前列腺增生症患者(特别是小体积 BP H 患者)术后尿动力学检查可帮助患者和泌尿外科医师更早发现膀胱颈挛缩的存在,这有助于患者更早、更多可能接受包括药物、尿道扩张术等方面的治疗,从而有利于降低膀胱颈挛缩所致上尿路功能损害的发生率。
목적：탐토뇨동역학검사재지도방치전렬선증생증(BP H )환자술후방광경련축(BNC )도치적상뇨로손해중적작용。방법：회고성분석기왕수치적71례방광경련축환자적자료,근거환자입원전2년내시부접수과뇨동역학검사,분위 A 조(27례,접수과뇨동역학검사조)화 B 조(44례,미접수과뇨동역학검사조)。대비분석량조환자적기본자료화입원시비뇨계초성화신공능검사결과。결과：A 조환자년령、전렬선증생증술후시간여B 조환자상비무현저차별。차차입원시,A 조환자자유뇨류솔검사 Q max 현저고우 B 조,A 조환자상뇨로손해적발생솔현저저우 B 조。결론：전렬선증생증환자(특별시소체적 BP H 환자)술후뇨동역학검사가방조환자화비뇨외과의사경조발현방광경련축적존재,저유조우환자경조、경다가능접수포괄약물、뇨도확장술등방면적치료,종이유리우강저방광경련축소치상뇨로공능손해적발생솔。
To-expl-ore-the-applied-value-of-urodynamic-test-for-preventi-on-and-treat-ment-of-upper-uri-nary-damage-in-patients-with-bladder-neck-contracture-.Methods-:Twenty-seven-patients-(group-A)subj-ect-to-urody-na-mic-test-and-44-patients-(group-B-)not-subj-ect-to-urodynamic-test-were-set-up-.The-para-meters-fro-m-urodynamics-,-renal-functi-onal-test-and-col-or-ultrasonography-test-in-group-A-and-group-B-were-co-mpared-and-anal-yzed-.Results-:Si-g-nificant-difference-was-found-in-Q-max-but-not-in-age-and-postoperati-ve-time-between-two-groups-.The-upper-urinary-damage-rate-in-group-A-was-si-gnificantly-lower-than-in-group-B-.Conclusions-:Urodynamic-test-is-hel-pful-to-find-the-upper-urinary-damage-in-patients-with-bladder-neck-contracture-as-soon-as-possible.