良性前列腺增生合并糖尿病患者的尿流动力学检查意义  

Significance of urodynamics investigation of patients with benign prostatic hyperplasia and diabetes mellitus

作　　者：冯权尧[1] 徐勋[1] 梁耿祺[1] 

机构地区：[1]南方医科大学附属南海医院泌尿外科,广东佛山528200

出　　处：《中国当代医药》2012年第12期32-33,共2页China Modern Medicine

摘　　要：目的探讨良性前列腺增生(BPH)合并糖尿病患者的尿流动力学变化特点及其临床意义。方法对22例BPH伴糖尿病患者(糖尿病组)和34例单纯性BPH患者(对照组)按照国际尿控协会(ICS)推荐的标准方法行尿流动力学检查,对两组的尿流动力学结果进行对比分析。结果糖尿病组和照组比较,膀胱初尿意容量、膀胱最大容量、残余尿量、最大尿流时逼尿肌压力、顺应性增高、逼尿肌不稳定、膀胱出口梗阻发生率比较差异均有统计学意义(P<0.05)。结论糖尿病加重BPH患者的膀胱功能障碍;尿流动力学检查对于BPH合并糖尿病患者治疗方法的选择能提供客观依据,具有重要的临床参考价值。Objective To investigate the characteristics of urodynamics and its clinical significance of patients with benign prostatic hyperplasia（BPH） and diabetes mellitus（DM）.Methods The urodynamics of 22 patients with BPH and DM（DM group） and 34 patients with simple BPH（control group） was detected according to the standard method recommended by international continence society（ICS）.The results of urodynamics between the two groups were compared and analyzed.Results There were all statistically significant differences of the volume of first bladder sensation,maximum cystometric capacity,residual urine volume,detrusor pressure at maximum flow rate,increased compliance,instability detrusor and incidence of bladder outlet obstruction between the DM group and control group（P 0.05）.Conclusion DM will aggravate the bladder dysfunction of patients with BPH.Urodynamics investigation can provide objective basis for the selection of therapeutic methods of patients with BPH and DM,which is of great reference value in clinic.

关 键 词：良性前列腺增生 糖尿病 尿流动力学 检查意义 

分 类 号：R697.32[医药卫生—泌尿科学]