CAJ | 학술논문

目的：研究具有下尿路症状(LUTS)老年女性患者的尿流动力学异常改变及其临床意义。方法：给予171例有下尿路症状的老年女性患者尿流动力检查，分析相关参数并根据结果进行分类和治疗。结果：膀胱感觉过敏者76例，膀胱感觉减退者16例。膀胱容量缩小者56例，膀胱容量增大18例。高顺应膀胱14例，低顺应膀胱35例。膀胱过度活动15例，膀胱逼尿肌-盆底肌协调性紊乱11例。逼尿肌压力减退(或无张力)106例，逼尿肌压力增高12例。膀胱颈口梗阻6例。压力性尿失禁32例，Ⅰ型8例，Ⅱ型7例，Ⅲ型17例。急迫性尿失禁6例。充盈性尿失禁3例。检查结果全部正常者27例。结论：尿流动力学检查能准确评估老年女性LUTS患者的膀胱尿道功能状况，给予临床诊断治疗提供客观可靠的依据。
목적：연구구유하뇨로증상(LUTS)노년녀성환자적뇨류동역학이상개변급기림상의의。방법：급여171례유하뇨로증상적노년녀성환자뇨류동력검사，분석상관삼수병근거결과진행분류화치료。결과：방광감각과민자76례，방광감각감퇴자16례。방광용량축소자56례，방광용량증대18례。고순응방광14례，저순응방광35례。방광과도활동15례，방광핍뇨기-분저기협조성문란11례。핍뇨기압력감퇴(혹무장력)106례，핍뇨기압력증고12례。방광경구경조6례。압력성뇨실금32례，Ⅰ형8례，Ⅱ형7례，Ⅲ형17례。급박성뇨실금6례。충영성뇨실금3례。검사결과전부정상자27례。결론：뇨류동역학검사능준학평고노년녀성LUTS환자적방광뇨도공능상황，급여림상진단치료제공객관가고적의거。
Objective:To investigate urodynamic changes and clinical significance of elderly females with lower urinary tract symptoms(LUTS). Method:171 elderly female patients with LUTS underwent urodynamic examinations,classifications and treatments were carried out according to the results analyse.Result:There were 76 cases of over-sensitive bladder,16 cases of low-sensitive bladder.56 cases of reduced bladder capacity,18 cases of increased bladder capacity.There were 14 cases of high compliance bladder,and 35 cases of low compliance.15 cases had overactive bladder,11 had detrusor/external sphincter dyssynergia.6 cases had bladder neck obstruction.106 cases of detrusor underactivity or areflexia,12 cases of detrusor pressure increased.Among 32 of patients with stress incontinence,8 cases were typeⅠ,7 cases were typeⅡ,17 cases were typeⅢ.There were 6 urgent incontinence cases and 3 overflow incontinence cases.27 cases were normal.Conclusion:Urodynamic study is useful in evaluating the status of bladder and urethra in elderly females with LUTS,and providing reliable evidences for clinical diagnoses and therapies.