残余尿在前列腺增生症所致膀胱出口梗阻中的临床意义  

Clinical significance of residual urine volume in bladder outlet obstruction with benign prostatic hyperplasia

作　　者：武治津[1] 吴克让[1] 王飙[1] 高居中[1] 

机构地区：[1]首都医科大学附属北京红十字朝阳医院泌尿外科

出　　处：《中华外科杂志》1997年第6期374-376,共3页Chinese Journal of Surgery

摘　　要：作者应用压力－流率测定法确定前列腺增生症（ＢＰＨ）患者有无膀胱出口梗阻（ＢＯＯ），并经导管法测定其残余尿，分析５１例有或无膀胱出口梗阻的前列腺增生症患者的残余尿状况。ＢＯＯ组和无ＢＯＯ组分别为３１例和２０例；残余尿分别为３２．８±３５．９ｍｌ和２５．２±２２．７ｍｌ，范围分别为６～２１０ｍｌ和３～８８ｍｌ。两组间残余尿量无显著性差异（Ｐ＞０．０５）；其余指标均存在显著性差异（Ｐ＜０．０１）。作者认为以残余尿作为选择ＢＰＨ患者手术的重要指标并不可靠，ＢＯＯ不是产生残余尿的唯一原因。ＢＯＯ患者可无明显残余尿，无明显残余尿的ＢＰＨ患者不能除外ＢＯＯ。Bladder outlet obstruction(BOO) with benign prostatic hyperplasia(BPH) was determined by pressure flow studies.Residual urine volume was measured by urethral catheterization. Fifty one patients with or without BOO were investigated for residual urine.The mean residual urine volume was 32 8±35 9ml and 25 2±22 7 ml in BOO group(31 patients) and no BOO group(20) respectively. The range of residual urine volume was from 6 to 210 ml and from 3 to 88 ml in the two groups respectively.Residual urine volume was not statistically differenct between the BOO group and no BOO group( P >0 05). The results of pressure flow studies were significantly different between the BOO group and no BOO group( P <0 01). Residual urine determination was not a reliable criterion for selection of patients for surgery. The cause of residual urine is not only BOO.The patients with BOO may present insignificant residual urine.It is evident that the absence of post void residual urine does not rule out BOO.

关 键 词：前列腺增生 膀胱颈梗阻 尿动力学 

分 类 号：R697.32[医药卫生—泌尿科学] R694.2[医药卫生—外科学]