CAJ | 학술논문

目的：尿流动力学检查的临床应用评价。方法回顾性分析我院门诊及住院患者2040例；选用加拿大LABORIE公司的尿流动力学检查仪进行尿流率检测、充盈期膀胱测压和排尿期同步压力流率测定、同步尿道外括约肌肌电图测定，从而结合临床资料判定尿流动力学诊断。结果膀胱出口梗阻846例，占41.47%；膀胱出口可疑梗阻222例，占10.88%；神经源性膀胱尿道功能障碍448例，占21.96%；膀胱过度活动症134例，占6.57%；膀胱逼尿肌无力/乏力260例，占12.75%；膀胱出口无梗阻及尿流动力学检查未见异常患者86例，占4.22%；其他如高/低顺应性膀胱等44例，占2.16%。结论尿流动力学是明确下尿路症状原因的重要检查手段，具有较高临床应用价值。
목적：뇨류동역학검사적림상응용평개。방법회고성분석아원문진급주원환자2040례；선용가나대LABORIE공사적뇨류동역학검사의진행뇨류솔검측、충영기방광측압화배뇨기동보압력류솔측정、동보뇨도외괄약기기전도측정，종이결합림상자료판정뇨류동역학진단。결과방광출구경조846례，점41.47%；방광출구가의경조222례，점10.88%；신경원성방광뇨도공능장애448례，점21.96%；방광과도활동증134례，점6.57%；방광핍뇨기무력/핍력260례，점12.75%；방광출구무경조급뇨류동역학검사미견이상환자86례，점4.22%；기타여고/저순응성방광등44례，점2.16%。결론뇨류동역학시명학하뇨로증상원인적중요검사수단，구유교고림상응용개치。
Objective To study the clinical application evaluation of urodynamics.Methods We summaried our experience of 2 040 consecutive urodynamic examinations,We tested urinary flow rate,filing stage of bladder pressure and bladder pressure flow rate,simultaneous urethral external sphincter electromyography using urodynamics inspection instrument from LABORIE company in canda.ResultsBladder outlet obstruction,846 cases, accounted for 41.47%,bladder outlet suspicious obstruction,222 cases,accounted for 10.88%,neurogenic dysfunction of bladder and urethra,448 cases,accounted for 21.96%,overactive bladder 134 cases,accounting for 6.57%,bladder detrusor muscle weakness/fatigue,260 cases,12.75%,as for bladder outlet without obstruction and urinary flow dynamics examination,there were 86 healthy people,accounted for 4.22%,others,such as high/low compliant bladder 44 cases,2.16%. Conclusion The urodynamics has high clinical application value in the clinical application.