术前P_(det)Q_(max)测定评估经尿道膀胱颈切开术治疗女性原发性膀胱颈梗阻疗效的价值  

Role of preoperative P_(det)Q_(max) detection in evaluating efficacy of transurethral resection of bladder neck in treating female primary bladder neck obstruction

作　　者：孙柳静[1] 朱喜山[1] 王科峰[1] 

机构地区：[1]常州市第三人民医院泌尿外科,江苏省213000

出　　处：《江苏医药》2015年第22期2708-2710,共3页Jiangsu Medical Journal

摘　　要：目的探讨术前最大尿流率时膀胱逼尿肌压力(PdetQmax)测定评估经尿道膀胱颈切开术(TURBn)治疗女性原发性膀胱颈梗阻(PBNO)疗效的价值。方法女性PBNO患者35例均行经尿道膀胱颈切开术(TURBn)治疗。采用国际前列腺症状评分(IPSS)评估疗效;分析术前PdetQmax与术后IPSS评分的相关性。结果按手术前后的IPSS评分,35例分为疗效明显(A组,20例)、疗效良好(B组,8例)、疗效一般(C组,5例)和无效(D组,2例)。A、B和C组术后IPPS评分均低于术前(P<0.05)。术前PdetQmax与术后IPSS评分呈负相关(r=-0.65,P<0.05)。结论术前PdetQmax测定可判断女性PBNO患者TURBn术后疗效。Objective To explore the role of preoperative detrusor pressure at peak flow（PdetQmax）detection in evaluating efficacy of transurethral resection of bladder neck（TURBn）in treating female primary bladder neck obstruction（PBNO）.Methods TURBn was performed in 35 women with PBNO.Clinical efficacy was evaluated with International Prostate Symptom Score（IPSS）.The correlation of preoperative PdetQmax and IPSS was analyzed.Results On the basis of IPSS evaluated before and after operation,35 PBNO patients were assigned into 4 groups of A（with excellent efficacy,20 cases）,B（with better efficacy,8 cases）,C（effective,5 cases）and D（in vain,2 cases）.The IPSS scores in groups of A,B and C were significantly lower after surgery than those before（P〈0.05）.Preoperative PdetQmax was negatively correlated to postoperative IPSS（r=-0.65,P〈0.05）.Conclusion Preoperative PdetQmaxdetection can be used to predict the efficacy of TURBn in women with PBNO.

关 键 词：原发性膀胱颈梗阻 经尿道膀胱颈切术 逼尿肌压力 

分 类 号：R699[医药卫生—泌尿科学]