压力性尿失禁合并糖尿病患者的尿动力学研究  

A urodynamic study on female stress urinary incontinence with or without diabetes

作　　者：李节[1] 陈仁富[1] 孙晓磊[1] 李约延[1] 彭云鹏[1] 

机构地区：[1]徐州医学院附属医院泌尿外科,江苏徐州221002

出　　处：《现代泌尿外科杂志》2015年第4期248-250,共3页Journal of Modern Urology

摘　　要：目的探讨尿动力学检查在压力性尿失禁合并糖尿病中的诊断意义。方法采用德国Ellipse尿动力检测仪对58例女性压力性尿失禁合并糖尿病患者及40例单纯压力性尿失禁患者进行尿动力学检测,参照不同的糖尿病病程,明确不同时期尿动力学的特征性改变。结果实验组与对照组相比,两组中以McGuire法分型的各型腹压漏尿点所占百分比具有明显差异;糖尿病病程大于2年患者的尿动力学参数与单纯SUI间差异具有统计学意义(P<0.05),最大尿流率、最大尿流率时逼尿肌压力随病程的增加而降低,而强烈排尿感容量、剩余尿量、最大膀胱测压容量及初始尿意容量均随病程的增加而增加。结论尿动力学检查的各项指标结合糖尿病病程临床资料,有助于判断压力性尿失禁伴有何种膀胱功能的改变,对正确的诊断及后续治疗具有重要意义。Objective To explore the diagnostic value of urodynamic performances of female stress urinary incontinence （SUI） patients with or without diabetes .Methods A total of 58 SUI patients with diabetes and 40 SUI patients without dia-betes were tested with German Ellipse urodynamic detection instrument .The urodynamic changes were analyzed .Results There were significant differences between the two groups in the percentages of abdominal leak-point pressure （ALPP） classi-fied with McGuire method .Statistical differences were found between SUI patients with diabetes for more than 2 years and SUI patients without diabetes （P〈0 .05） .The maximum urinary flow rate （Rmf） and the pressure of maximum flow （PQmax） in patients with diabetes for more than 2 years decreased with the course of diabetes ,while the volume of post-void residual （Vpr）/first desire to void （Vfdv）/strong desire to void （Vsdv） and maximum cysto-metric capacity （Vmcc） increased .Conclusions Urodynamic indexes combined with clinical information of diabetes can identify different types of bladder dysfunctions , which are essential for solid diagnosis and subsequent treatment .

关 键 词：尿流动力学 压力性尿失禁 糖尿病 糖尿病膀胱功能障碍 膀胱过度活动症 

分 类 号：R694.5[医药卫生—泌尿科学]