尿流动力学在BPH术前检查中的应用  

作　　者：李伟文[1] 张伟[1] 李文辉[1] 秦红平[1] 戚艳云 梁军[1] 陈晓红[1] 

机构地区：[1]解放军第一医院泌尿外科,735000

出　　处：《当代医学》2012年第22期12-13,共2页Contemporary Medicine

摘　　要：目的总结我科开展尿动力学检查在良性前列腺增生症(BPH)术前准备中的临床应用体会。方法收集解放军第一医院泌尿外科2007年11月～2011年7月318例前列腺增生症患者尿流动力学检查结果,进行回顾性分析。结果 318例前列腺增生症患者术前应用尿流动力学检查,行尿流率检测257例,Qmax为3～10ml/s有213例,平均(6.4±2.3)ml/s;Qmax为10～15ml/s有35例,平均(12.3±1.9)ml/s;Qmax>15ml/s有9例,平均(17.2±4.6)ml/s。318例患者中,低顺应性膀胱166例,不稳定膀胱25例,膀胱逼尿肌乏力29例,逼尿肌亢进8例,神经源性膀胱6例。尿道压检测270例异常,其中膀胱出口梗阻(bladder outlet obstruction,BOO)255例,尿道狭窄15例。明确诊断后,选择适当治疗方法,效果良好。结论术前应用尿流动力学检查,提高了术前诊断水平,对合理选择治疗方法、掌握手术指征及预测预后有重要的临床意义。Objective To summarize clinical application of urodynamics examination to patients with benign prostatic hypertrophy in the preoperation. Methods Reviewed 318 cases with benign prostatic hypertrophy（BPH） who had passed urodynamics examination from 2007. 11 to 2011.7. Results 318 cases with BPH were underwent urodynamic test successfully.Among 257 patients underwent uroflometry, the average maximum urine flow rate was （6.4±2.3） mL/s in 213 cases, （12.3±1.9） mL/s in 35 cases,（17.2±4.9） rnL/s in 9 cases respectively.Of the patients,166 had low compliance bladder, 25 had unstable bladder, 29 had detrusor under activity of bladder, 8 had detrusor hyperreflexia and 6 had neurogenic bladder.A total of 270 patients were analyzed urethral pressure.The bladder outlet obstruction occurred in 255 cases and urethral stricture in 15 cases. All patients were diagnosed exactly, and treated appropriately according to their urodynamic results,and recovered effectively. Conclusion The urodynamic tests before the operation were helpful to diagnosis of bladder and urethral function in patients with BPH,which played an important action on the choice of treatment methods and judgement of operation indication and prognostication of operative effect.

关 键 词：前列腺增生症 尿流动力学 检测 

分 类 号：R446.1[医药卫生—诊断学] R697.3[医药卫生—临床医学]