尿动力学检查在女性下尿路疾病中的应用(附78例报告)  

Urodynamic Analysis of Lower Urinary Tract Symptoms in Females(Report of 78 Cases)

作　　者：李先承[1] 宋希双[1] 张志伟[1] 李晓昕[1] 李秀男[1] 

机构地区：[1]大连医科大学附属第一医院泌尿外科,大连116011

出　　处：《临床泌尿外科杂志》2011年第7期516-517,520,共3页Journal of Clinical Urology

摘　　要：目的:研究以尿路症状为主诉的女性患者的尿动力学变化及其临床意义。方法:女性患者,年龄21～86岁.临床表现为储尿期和(或)排尿期症状,采用尿动.力学方法检查尿流率.同步膀胱压力容积流率及肛门括约肌肌电图测定。结果:以排尿症状为主者64例.以储尿症状为主者12例.不稳定膀胱2例。下尿路梗阻28例,其中功能性逼尿肌外括约肌协同失调的16例;子宫阴道下垂伴下尿路梗阻21例:压力性尿失禁18例,其中Ⅰ型5例.Ⅱ型3例.Ⅲ型3例.Ⅱ/Ⅲ型7例。正常9例。结论:尿动力学检查能了解膀胱的功能状况,为临床治疗的选择提供了可靠的依据。Objective： To investigate the causes and clinical significance of lower urinary tract symptoms （LUTS） in females with urodynamic studies. Methods：78 females （mean age 64 years, ranging from 21 to 86 ） with LUTS were evaluated with urodynamic examination. Results：64cases had urination difficulties,and 12 storage dysfunction. 2 had unstable bladder, 16 patient functional external sphincter dyssynergia. Among28 patients with blad- der outlet obstruction,21 had uterus and vagina procidentia. 18 of patients had stress incontinence and 9 were nor mal. Conclusions： Urodynamic examination is necessary to the diagnosis of female LUTS and it also has significant value in predicting the treatment and prognosis of LUTS.

关 键 词：下尿路疾病 女性 尿动力学 

分 类 号：R695.1[医药卫生—泌尿科学]