糖尿病性膀胱IPSS及影像或普通尿动力学研究  

Behavior of IPSS and videourodynamics or urodynamics in patients with diabetic cystopathy

作　　者：郭和清[1] 李贤初[1] 石孝民[1] 孙斌[1] 吴胜花[1] 张守琴[1] 

机构地区：[1]解放军空军总医院泌尿外科,北京100036

出　　处：《临床泌尿外科杂志》2002年第6期277-279,共3页Journal of Clinical Urology

摘　　要：目的 :评价糖尿病患者排尿异常与逼尿肌行为间的关系。方法 :对 4 4例糖尿病患者进行影像或普通尿动力学检查及IPSS评价。将糖尿病性膀胱划分为逼尿肌受损型和感觉受损型。结果 :1 7例糖尿病患者诊断为糖尿病性膀胱 ,2 7例糖尿病患者尿动力学结果正常。糖尿病性膀胱患者与尿动力学检查正常的糖尿病患者相比 ,尿流率中大多数参数差异具有显著性意义 ;主观症状评分梗阻指数显著性增高 ,但刺激症状指数差异无显著性意义。结论 :梗阻指数升高而刺激指数无显著性升高可能是糖尿病性膀胱尿动力学的特征性改变。尽管尿流率和IPSS评价不能特异性区分逼尿肌受损情况 。Purpose:The aim of this study was to ascertain the relationship between voiding dysfunction associated with diabetes and bladder detrusor smooth muscles behavior.Methods:44 patients with diabetes mellitus were evaluated by videourodynamics or urodynamics and the International Prostate Symptom Score (IPSS). Urodynamic findings of diabetic cystopathy were classified as either detrusor impairment or sensory impairment.Results:After urodynamic and physiological investigations, 17 patients were diagnosed as having diabetic cystopathy, while 27 patients as being urodynamically normal. In patients with diabetic cystopathy, most of the parameters in uroflowmetry were significantly different from those of normal subjects. Subjective symptom assessment revealed increased total obstructive scoring (P< 0.05 ). However, irritative symptom indexes in patients with diabetic cystopathy were not different from those of the normal subjects.Conclusions:Increased obstructive scoring with no apparent differences in irritative indexes for normal subjects may be a characteristic finding in patients with diabetic cystopathy. Although uroflowmetry and I-PSS are not specific to identify detrusor impairment, these methods appeared to be useful in taking further urodynamic investigations.

关 键 词：尿动力学 糖尿病 神经原性膀胱 排尿功能障碍 

分 类 号：R587.2[医药卫生—内分泌]