女性糖尿病患者膀胱功能障碍的尿动力学研究  

Urodynamic Analysis in Female Patients With Diabetic Bladder Dysfunction

作　　者：薛冬[1] 陆皓[1] 何小舟[1] 徐仁方[1] 许贤林[1] 丁涛[1] 屠筠[1] 经浩[1] 巢志复[1] 

机构地区：[1]常州市第一人民医院泌尿外科,江苏常州213003

出　　处：《临床泌尿外科杂志》2009年第1期21-22,共2页Journal of Clinical Urology

摘　　要：目的:探讨尿动力学检查在糖尿病患者膀胱功能障碍诊断中的意义。方法:回顾性分析32例女性糖尿病膀胱病变患者的临床资料和尿动力学检查结果,明确尿动力学的特征性改变。结果:早期组最大尿流率、膀胱容量下降,逼尿肌压力增加,初始尿意、剩余尿量正常;晚期组最大尿流率、逼尿肌压力下降明显,初始尿意、剩余尿、膀胱容量显著增加。结论:女性伴有下尿路症状(LUTS)的糖尿病患者膀胱功能异常的发生率高,随着病程延长,膀胱功能改变明显。尿动力学检查可以明确膀胱功能,对合并糖尿病的LUTS患者的正确诊断和治疗具有重要的指导意义。Objective：To evaluate the bladder dysfunction by urodynamic studies in female diabetic patients. Methods： A retrospective analysis of the clinical characteristics and urodynamie results was performed in 32 female patients with diabetic eystopathy. Maked the changes of urodynamic characteristics clear. Results： In the early stage group, the maximum flow rate and bladder capacity reduced, detrusor contraction increased, the volume of first bladder sensation and the postvoiding residual urine volume were normal. In the late stage group, the maximum flow rate and detrusor contraction reduced, the volume of first bladder sensation, bladder capacity , the postvoiding residual urine volume increased obviously. Conclusions：The incidence of bladder dysfunction in female diabetic patients with the lower urinary tract symptoms （LUTS） is high. With the development of diabetes mellitus, bladder function was changed obviously. Urodynamic examination can make bladder function clear, and had important guiding significance for the correct diagnosis and treatment of diabetes patients with LUTS.

关 键 词：尿动力学 膀胱功能障碍 糖尿病 

分 类 号：R334[医药卫生—人体生理学]