CAJ | 학술논문

目的评价原发性男性膀胱颈梗阻的尿动力学表现.方法回顾性分析23例男性原发性膀胱颈梗阻之尿动力学改变,包括尿流率、残余尿量及多通道尿动力学检查,并结合排尿期膀胱尿道造影、膀胱镜检查进行分析.结果所有病例尿流率异常,可表现为最大尿流率降低,尿流曲线为钟型达峰时间延长或低平型.压力-流率检查可出现三型:高压-低流、正常压-低流、低压-低流,膀胱颈开放时间延迟在三型中均有出现.结合排尿期膀胱尿道造影、膀胱镜检查分析对确定诊断有重要意义.结论普通尿动力学检查对原发性膀胱颈梗阻可作出初步诊断,明确诊断需结合排尿期膀胱尿道造影.
목적 평개원발성남성방광경경조적뇨동역학표현.방법 회고성분석23례남성원발성방광경경조지뇨동역학개변,포괄뇨류솔、잔여뇨량급다통도뇨동역학검사,병결합배뇨기방광뇨도조영、방광경검사진행분석.결과 소유병례뇨류솔이상,가표현위최대뇨류솔강저,뇨류곡선위종형체봉시간연장혹저평형.압력-류솔검사가출현삼형:고압-저류、정상압-저류、저압-저류,방광경개방시간연지재삼형중균유출현.결합배뇨기방광뇨도조영、방광경검사분석대학정진단유중요의의.결론 보통뇨동역학검사대원발성방광경경조가작출초보진단,명학진단수결합배뇨기방광뇨도조영.
Objectives To evaluate the urodynamic features of the patients with primary bladder neck obstruction.Methods A comprehensive urodynamic evaluation was made on 23,including uroflowmetry,post-void volume and multichannel urodynamics.Examination results were analysied with cystoscopy and voiding cystourethrography.Results All patients have abnormal uroflow:Low maximum urine flow rate (Qmax),and shape of the curve have two types:bell-shaped prolonged peaktime,flattened.Pressure-flow analysis have three types:classic high pressure-low flow,normal pressure-low flow,low pressure-low flow,and part of the patients showed delayed opening of the bladder neck in three types.Combining with cystoscopy and voiding cystourethrography,we can make the right diagnosis.Conclusions The initial diagnosis can be made by urodynamics.The exact diagnosis will be determined with voiding cystourethrography.