男性原发性膀胱颈梗阻的尿动力学特点  

Urodynamic features of primary bladder neck obstruction in male

作　　者：李宗武[1] 张龙洋[1] 贾淑丽[1] 杨伯平[1] 郭峰[1] 张士宝[1] 吴衍麟[1] 王岳勇[1] 

机构地区：[1]济南山东大学附属济南市中心医院泌尿外科,山东250013

出　　处：《国际泌尿系统杂志》2013年第2期166-168,共3页International Journal of Urology and Nephrology

摘　　要：目的评价原发性男性膀胱颈梗阻的尿动力学表现。方法回顾性分析23例男性原发性膀胱颈梗阻之尿动力学改变，包括尿流率、残余尿量及多通道尿动力学检查，并结合排尿期膀胱尿道造影、膀胱镜检查进行分析。结果所有病例尿流率异常，可表现为最大尿流率降低，尿流曲线为钟型达峰时间延长或低平型。压力-流率检查可出现三型：高压-低流、正常压-低流、低压-低流，膀胱颈开放时间延迟在三型中均有出现。结合排尿期膀胱尿道造影、膀胱镜检查分析对确定诊断有重要意义。结论普通尿动力学检查对原发性膀胱颈梗阻可作出初步诊断，明确诊断需结合排尿期膀胱尿道造影。Objectives To evaluate the urodynamic features of the patients with primary bladder neck obstruction. Methods A comprehensive urodynamic evaluation was made on 23, including uroflowmetry, post - void volume and multichannel urodynamics. Examination results were analysied with cystoscopy and voiding cystourethregraphy. Results All patients have abnormal urofiow： Low maximum urine flow rate （Qmax）, and shape of the curve have two types ： bell - shaped prolonged peaktime, flattened. Pressure - flow analysis have three types ： classic high pressure - low flow, normal pressure - low flow,low pressure - low flow, and part of the patients showed delayed opening of the bladder neck in three types. Combining with cystoscopy and voiding cystourethregrapby, we can make the right diagnosis. Conclusions The initial diagnosis can be made by urodynamics. The exact diagnosis will be determined with voiding cystourethrography.

关 键 词：膀胱颈梗阻 尿动力学 

分 类 号：R694.2[医药卫生—泌尿科学]