糖尿病性膀胱尿动力学研究  

Behavior of I-PSS and videourodynamics or urodynamics in patients with diabetic cystopathy

作　　者：郭和清[1] 李贤初[1] 石孝民[1] 孙斌[1] 吴胜花[1] 张守琴[1] 

机构地区：[1]空军总医院泌尿外科,北京100036

出　　处：《空军总医院学报》2001年第4期194-196,共3页Journal of General Hospital of Air Force,PLA

摘　　要：目的　为了评价糖尿病患者排尿异常与膀胱和逼尿肌行为间的关系。　方法　 44例糖尿病患者接受影像或普通尿动力学检查及 I- PSS评价。将糖尿病性膀胱划分为逼尿肌受损型和感觉受损型。　结果　 17例糖尿病患者诊断为糖尿病性膀胱 ,2 7例糖尿病患者尿动力学结果正常。糖尿病性膀胱患者与尿动力学正常的糖尿病患者相比 ,尿流率中大多数参数具有显著性差异 ;主观症状评分梗阻指数显著性增高 ,但刺激症状指数两组无显著性差异。　结论　梗阻指数升高而刺激指数无显著性升高可能是糖尿病性膀胱尿动力学的特征性改变。尽管尿流率和 I- PSS评价不能特异性区分逼尿肌受损情况 。Objective The aim of this study was to ascertain the relationship between voiding dysfunction associated with diabetes and bladder and detrusor smooth muscles behavior. Methods Forty forth patients with diabetes mellitus were evaluated by videourodynamics or urodynamics and the International Prostate Symptom Score (I PSS). Urodynamic findings of diabetic cystopathy were classified as either detrusor impairment and sensory impairment. Results After urodynamic and physiological investigations 17 patients were diagnosed as having diabetic cystopathy, while 27 patients as being urodynamically normal. In patients with diabetic cystopathy, most of the parameters in uroflowmetry were significantly different from those of normal subjects. Subjective symptom assessment revealed increased total obstructive scoring( P <0.05). However, irritative symptom indexes in patients with diabetic cystopathy were not different from those of the normal subjects. Conclusions Increased obstructive scoring with no apparent differences in irritative indexes for normal subjects may be a characteristic finding in patients with diabetic cystopathy. Although uroflowmetry and I PSS are not specific to identify detrusor impairment, these methods appeared to be useful to decide upon further urodynamic investigations.

关 键 词：糖尿病 排尿障碍 膀胱 神经原性 排尿 

分 类 号：R587.1[医药卫生—内分泌] R694.5[医药卫生—内科学] R334.4[医药卫生—临床医学]