应用尿动力学检查预测前列腺增生症术后疗效的研究  

Urodynamic Analysis in Prognosticating Efficacy after Prostatectomy

作　　者：史东民[1] 史沛清[1] 刘国斌[1] 孙长华[1] 于雷[1] 黄永刚[1] 丁强[1] 

机构地区：[1]哈尔滨市第一医院,黑龙江哈尔滨150010

出　　处：《黑龙江医学》2007年第11期822-823,共2页Heilongjiang Medical Journal

摘　　要：目的探讨前列腺增生症术后疗效不良的原因。方法应用尿动力学的方法对50例BPH术后症状改善不良的9例患者进行检查分析。结果本组术后疗效不良的主要原因为逼尿肌不稳定2例、低顺应性膀胱2例、高顺应性膀胱3例、膀胱出口梗阻2例。结论BPH术后疗效不良的主要原因是不稳定膀胱、逼尿肌功能障碍和膀胱出口梗阻。尿动力学检查对预测术后疗效、手术适应证的选择,以及查明不良原因等有重要作用。Objective To evaluate the value of urodynamlc analysis in prognosticating efficacy after prostatectomy. Methods The results of 50 cases postoperation were analyses. Results We found that detrusor instability appeared in 2 patients, 2 patients had low compliance bladders, 3 patients had high compliance bladders and 2 patients were bladder outlet obstruction. Conclusion The most frequent causes affecting the prognosis of BPH patients after prostatectomy, include： instability bladder,detrusor dysfunction and bladder outlet obstruction. Urodynamics may plays asignificant role in the determination of the prognosis of BPH Patients,choosing patients who needs pmstatectomy and in the detemaination of the causes of unsatisfied prognosis of BPH patients.

关 键 词：尿流动力学 前列腺增生症 术后 

分 类 号：R697.32[医药卫生—泌尿科学]