245例前列腺增生患者尿流动力学的结果分析  

Urodynamic analysis in 245 patients with benign prostatic hypertrophy

作　　者：邓军洪[1] 王良圣[1] 姜粹平[1] 

机构地区：[1]广州市第一人民医院泌尿外科,广州510180

出　　处：《中国男科学杂志》2000年第4期234-236,共3页Chinese Journal of Andrology

基　　金：省卫生厅科研基金资助 !基金编号 :B1998137

摘　　要：本文采用自制半卧位尿动力测定床及Danec尿动力仪器 ,常规行尿流率 ,压力 流率 (同步测定尿道外括约肌肌电图 ) ,尿道测压。结果明确诊断BOO16 1例 ,可疑 5 0例 ,合并逼尿肌功能受损 6 5例 ;膀胱顺应性降低 70例 ,外括约肌功能失调 114例 ;逼尿肌不稳定 5 9例。最大尿流率受测压导管影响 ;功能尿道长度与经直肠B超测定的前列腺尿道长度相关联。结论 :1、BPH的排尿症状是机械因素与动力学因素共同作用的结果 ;尿动力学检查是诊断由BPH所致BOO的一个非常重要的手段 ,但分析结果时应考虑干扰因素的影响。 2。To research the mechanism of voiding disorder and promote the diagnosis rate and the accuracy of the bladder outlet obstruction,the full set of urodynamic exam were examined with self made semi supine bed and Manneu Danec Urodynamic device in 245 patients.The results showed that the diagnosis rate of BOO is 86.1%,concomitantly detrusor muscle impact in 65 cases,bladder compliance decreased in 70 cases,urethral sphincter dyssynergia in 114 cases,and unstable bladder in 59 cases.There is a close relation between the functional urethral length tested by both urodynamic and ultrasound B.It suggested that both the dynamic and mechanical factors are attributed to the voiding disorder in patients with BPH.The urodynamic exam plays an important role in diagnosis of BOO.

关 键 词：前列腺增生 尿流动力学 膀胱颈出口梗阻 

分 类 号：R697.32[医药卫生—泌尿科学]