CAJ | 학술논문

目的探讨直肠癌根治术后膀胱功能障碍的诊断和治疗.方法 165例直肠癌根治术后膀胱功能障碍患者行尿流动力学检查,观察的指标包括最大尿流率、残余尿量、排尿量、排尿期逼尿肌收缩压以及最大尿道压,并根据结果给予相应的治疗.结果逼尿肌活动低下者116例,其中109例术后3个月恢复正常排尿,7例未恢复,予以膀胱造瘘；逼尿肌过度活动者42例和括约肌功能不全者7例,经治疗后症状改善.结论直肠癌根治术后膀胱功能障碍的患者行尿流动力学检查以明确病变类型,具有重要的临床价值.
목적 탐토직장암근치술후방광공능장애적진단화치료.방법 165례직장암근치술후방광공능장애환자행뇨류동역학검사,관찰적지표포괄최대뇨류솔、잔여뇨량、배뇨량、배뇨기핍뇨기수축압이급최대뇨도압,병근거결과급여상응적치료.결과 핍뇨기활동저하자116례,기중109례술후3개월회복정상배뇨,7례미회복,여이방광조루；핍뇨기과도활동자42례화괄약기공능불전자7례,경치료후증상개선.결론 직장암근치술후방광공능장애적환자행뇨류동역학검사이명학병변류형,구유중요적림상개치.
Objective To investigate the diagnosis and treatment of bladder dysfunction after radical resection of rectal carcinoma.Methods One hundred and sixty-five patients with bladder dysfunction after radical resection of rectal carcinoma were observed by urodynamic study.The results included maximum urinary flow rate,postvoid residual,urine volume,pressure of detrusor,maximum urethral closure pressure.These patients were treated by different methods.Results Bladder with underactive detrusor were 116 patients,109 patients returned to normal voiding after 3 months,7 patients were performed with suprapubic cystostomy.Detrusor overactivity were 42 patients,insufficiency of urethral sphincter were 7 patients,all symptoms of them improved after treatment.Conclusion Patients with bladder dysfunction after radical resection of rectal carcinoma should do check to clear etiology,according to the results to take the appropriate means to treatment.