尿动力学检查对良性前列腺增生症患者诊治意义  

Significance of urodynamics in the diagnosis and treatment of patients with benign prostatic hyperplasia

作　　者：曲树新[1] 刘洋[1] 王长林[1] 李浩铭[1] 许广志[1] 王宏志[1] 单戈[1] 

机构地区：[1]黑龙江省森工总医院泌尿分院,黑龙江哈尔滨150021

出　　处：《哈尔滨医科大学学报》2014年第4期335-337,共3页Journal of Harbin Medical University

摘　　要：目的探讨尿动力学检查在良性前列腺增生症治疗中的临床意义。方法对217例良性前列腺增生症（benign prostatic hyperplasia,BPH）患者治疗前后分别行尿动力学检查、国际前列腺症状（IPSS）评分和生活质量指数（QOL）评分,并分析检查结果。结果 217例患者中,其中12例可疑梗阻,8例无梗阻,14例逼尿肌严重受损,无明显收缩,183例为膀胱出口梗阻（bladder outlet obstruction,BOO）,其中经尿道前列腺电切（transurethral resection of prostate,TURP）183例,膀胱造瘘术14例,保守治疗20例。治疗后3~6个月复查尿动力学检查,与治疗前相比症状明显改善,疗效满意。结论尿动力学检查准确判断膀胱功能和BPH梗阻程度,为临床鉴别诊断、选择合适的治疗方案及评测预后提供了依据。Objective To investigate the clinical significance of urodynamics in the treatment of benign prostatic hyperplasia（ BPH）. Methods Urodynamics was examined in 217 cases of BPH patients before and after treatment,while the International Prostate Symptom Score（ IPSS） and quality of life index（ QOL） score were also evaluated and analyzed. Results Among the 217 patients,there were 12 cases of suspected obstruction,8 cases without obstruction,14 cases of detrusor severely damaged with no obvious contraction,183 cases of bladder outlet obstruction（ bladder outlet obstruction,BOO）,wherein the transurethral resection of prostate（ TURP） in 183 cases,cystostomy in 14 cases,and conservative treatment in 20 cases. After treatment for 3 months and 6 months,urodynamic examination showed that symptoms improved significantly compared with before. Conclusion Urodynamics accurately judge the degree of obstruction of bladder function and BPH,it provides a basis for selection of clinical diagnosis,treatment and appropriate evaluation of prognosis.

关 键 词：前列腺增生症 尿动力学 诊断 

分 类 号：R697.32[医药卫生—泌尿科学]