CAJ | 학술논문

目的通过对糖尿病膀胱病变合并良性前列腺增生症(BPH)患者尿动力学检查及分析,做出合理的治疗与处理.方法 60例已确诊为糖尿病膀胱病变合并BPH患者,其中糖尿病病程＞12年、血糖控制不理想32例(试验组),糖尿病病程≤8年、血糖控制基本平稳28例(对照组),采用莱博瑞UDS-120XLT型尿动力学检查仪,对两组患者进行尿动力学检查和国际前列腺症状评分(IPSS),并根据检查结果进行对比分析.结果试验组和对照组残余尿量比较差异无统计学意义[(146±71) ml比(160±64) ml,P＞0.05].而试验组最大尿流率明显低于对照组[(5.4±2.0) ml/s比(8.0±3.2)ml/s],IPSS的症状总分明显高于对照组[(25.8±4.1)分比(22.6±5.0)分],差异有统计学意义(P＜ 0.01).试验组最大膀胱容量、顺应性、初始尿意容量均低于对照组,差异有统计学意义(P＜0.01).结论糖尿病膀胱病变加重了BPH患者的膀胱功能障碍,尿动力学检查对糖尿病膀胱病变合并BPH患者的治疗方法及手术方式选择提供客观依据,具有重要的临床价值.
목적 통과대당뇨병방광병변합병량성전렬선증생증(BPH)환자뇨동역학검사급분석,주출합리적치료여처리.방법 60례이학진위당뇨병방광병변합병BPH환자,기중당뇨병병정＞12년、혈당공제불이상32례(시험조),당뇨병병정≤8년、혈당공제기본평은28례(대조조),채용래박서UDS-120XLT형뇨동역학검사의,대량조환자진행뇨동역학검사화국제전렬선증상평분(IPSS),병근거검사결과진행대비분석.결과 시험조화대조조잔여뇨량비교차이무통계학의의[(146±71) ml비(160±64) ml,P＞0.05].이시험조최대뇨류솔명현저우대조조[(5.4±2.0) ml/s비(8.0±3.2)ml/s],IPSS적증상총분명현고우대조조[(25.8±4.1)분비(22.6±5.0)분],차이유통계학의의(P＜ 0.01).시험조최대방광용량、순응성、초시뇨의용량균저우대조조,차이유통계학의의(P＜0.01).결론 당뇨병방광병변가중료BPH환자적방광공능장애,뇨동역학검사대당뇨병방광병변합병BPH환자적치료방법급수술방식선택제공객관의거,구유중요적림상개치.
Objective To obtain reasonable treatment by urodynamic detection and analysis in patients with diabetic cystopathy (DCP) complicated with benign prostatic hyperplasia (BPH).Methods Sixty patients with DCP complicated with BPH were selected,among the total 32 patients (duration of diabetes ＞ 12 years,blood glucose control was not ideal) were recognized as experimental group,and 28 patients (duration of diabetes ≤ 8 years,blood glucose control was stable) were recognized as control group.Using the Laborie UDS-120XLT urodynamic detection instrument,the urodynamic was detected and the international prostate symptom score (IPSS) was evaluate,and the results were compared between the 2 groups.Results There was no statistical difference in residual urine volume between experimental group and control group [(146 ±71) ml vs.(160 ±64) ml,P ＞0.05].The maximum urinary flow-rate in experimental group was significantly lower than that in control group [(5.4 ± 2.0) ml/s vs.(8.0 ± 3.2) ml/s],the symptom total score of IPSS was significantly higher than that in control group [(25.8 ± 4.1) scores vs.(22.6 ±5.0) scores],there were statistical differences (P ＜0.01).The maximum bladder capacity,compliance,incipient micturition desire volume in experimental group were significantly lower than those in control group,there were statistical differences (P ＜ 0.01).Conclusions The influence of DCP on the function of the bladder in BPH patients is significant.Urodynamic detection can provide objective basis for the selection of therapeutic methods,suitable to be operated and forecast the postoperative effect.It has an important reference value in DCP complicated with BPH patients.