CAJ | 학술논문

对前列腺切除术后出现下尿路症状者38例进行尿动力学检查并分析。结果显示:38例中有逼尿肌功能障碍者21例，其中单纯逼尿肌反射低下11例，逼尿肌反射低下伴下尿路梗阻6例，逼尿肌过度活动4例；下尿路梗阻者17例，其中膀胱颈梗阻14例，尿道狭窄3例。认为逼尿肌功能障碍、膀胱颈梗阻是前列腺术后下尿路症状的主要原因，尿动力学检查可明确诊断，并为二次治疗的方法提供依据。
대전렬선절제술후출현하뇨로증상자38례진행뇨동역학검사병분석。결과현시:38례중유핍뇨기공능장애자21례，기중단순핍뇨기반사저하11례，핍뇨기반사저하반하뇨로경조6례，핍뇨기과도활동4례；하뇨로경조자17례，기중방광경경조14례，뇨도협착3례。인위핍뇨기공능장애、방광경경조시전렬선술후하뇨로증상적주요원인，뇨동역학검사가명학진단，병위이차치료적방법제공의거。
To clarify the causes of lower urinary tract symptoms afterprostatectomy， 38 cases with lower urinary tract symptoms after prostatectomy were studied retrospectively.The results showed of the 38 patients，detrusor dysfunction was observed in 55.2％（21／38），28.9％ being detrusor hyporeflexia，15.8％ being a combination of detrusor hyporeflexia and bladder outlet obstruction，and 10.5％ being detrusor over-activity.Bladder outlet obstruction was diagnosed in the remaining 44.8％，36.4％ diagnosed as bladder neck obstruction and 8.4％ as stricture of urethra.These suggested that the causes of lower urinary tract symptoms after prostatectomy were mainly detrusor dysfunction and bladder neck obstruction.It is therefore necessary to evaluate these patients with Urodynamics before reoperation.