压力-流率测定在评估前列腺增生症手术适应证中的作用  

The role of pressure flow studies in operative indication for BPH

作　　者：武治津[1,2] 高居忠[1,2] 吴克让[1,2] 管德林[1,2] 王飙 

机构地区：[1]首都医科大学泌尿外科研究所 [2]北京红十字朝阳医院泌尿外科

出　　处：《中华泌尿外科杂志》1998年第6期285-287,共3页Chinese Journal of Urology

摘　　要：对１２０例前列腺增生症（ＢＰＨ）患者进行了压力流率测定，以评估其在手术适应证中的作用。经Ｓｃｈｆｅｒ列线图和直线被动尿道阻力关系（ｌｉｎＰＵＲＲ）定量分析ＢＰＨ患者膀胱出口梗阻（ＢＯＯ）程度和逼尿肌收缩强度。结果表明：本组患者无ＢＯＯ和轻度ＢＯＯ者为２９．１％，逼尿肌收缩强度很弱者为７．５％，不适合前列腺手术者为３６．６％；ＢＯＯⅡ度者，ＩＰＳＳ＜７可等待性观察；ＢＯＯ＞Ⅲ度者，部分患者病情可进一步发展而需手术处理，尿流率和ＩＰＳＳ是有效的观察手段。逼尿肌收缩强度弱者，术后逼尿肌收缩功能可能改善；逼尿肌收缩强度很弱者。Pressure flow studies have been carried out and analyzed for its role in operative indication in 120 cases of BPH. Schfer nomogram and linearized passive urethral resistance were used to evaluate quantitatively the bladder outlet obstruction (BOO) and the detrusor strength. Patients with no or mild BOO and very weak detrusor strength consisted 29.1% and 7.5% respectively, and prostatectomy was not indicated in 36.6% . A watchful program should be undertaken in patients with BOOⅡ and the subjective symptoms being mild (IPSS<7). In patients with BOO Ⅲ, surgical intervention has been needed in some of them during the follow up period. In patients with weak detrusor strength, the latter might become powerful after prostatectomy but no improvement of detrusor strength would be expected after prostatectomy in patients with very weak detrusor strength.

关 键 词：前列腺增生 尿动力学 外科手术 适应症 

分 类 号：R697.320.5[医药卫生—泌尿科学]