难治性男性下尿路症状的尿动力学分析  

Urodynamic Analysis of the Refractory Male Lower Urinary Tract Symptoms

作　　者：陈亮[1] 陈敏[1] 孙丰银[1] 袁渊[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院泌尿外科,武汉430030

出　　处：《临床泌尿外科杂志》2009年第1期18-20,共3页Journal of Clinical Urology

摘　　要：目的:研究难治性男性下尿路症状病因及尿动力学表现。方法:选择24例外院诊断为慢性前列腺炎经反复治疗效果不佳的患者行尿动力学检查。根据膀胱测压、压力-流率、盆底肌电图及尿道压进行诊断。结果:24例中完成检查22例,结果异常18例。顺应性下降并发逼尿肌过度活动1例,逼尿肌过度活动4例,膀胱感觉过敏2例,功能失调性排尿2例,膀胱出口梗阻6例,逼尿肌收缩力下降3例。结论:尿动力学对难治性男性下尿路症状的疾病诊断及治疗具有重要的指导意义。Objective：To study the urodynamics application and cause of the refractory male lower urinary tract symptoms（LUTS）. Methods：24 patients who were diagnosed chronic prostatitis by other hospitals and were ineffective with repeated treatment were performed urodynamie examination. All patients were diagnosed according to cystometric evaluation, pressure- flow rate detection, pelvic floor electromyography and urethral pressure. Results： 22 patients were finished the study. Urodynamic showed abnormal in 18, including impaired compliance and detrusor instability in 1, detrusor instability in 4, hyper-sensitive bladder in 2, dysfunctional voiding in 2, bladder outlet obstruction in 6 and impaired contractility in 3. Conclusions：Urodynamic examination has significant value in diagnosis and treatment of male refractory LUTS.

关 键 词：尿动力学 下尿路症状 男性 

分 类 号：R334[医药卫生—人体生理学]