200例下尿路排尿功能障碍患者影像尿动力学特点分析  

Analysis of Videourodynamics Features of 200 Cases of Patients with Lower Urinary Tracts Voiding Dysfunction

作　　者：商家铭[1] 

机构地区：[1]黑龙江省佳木斯市中心医院泌尿外科,黑龙江佳木斯154002

出　　处：《系统医学》2017年第4期83-85,共3页Systems Medicine

摘　　要：目的分析探讨下尿路排尿功能障碍患者尿动力学影像特点,从而为临床诊治提供依据。方法选取了2013年1月—2016年1月来医院接受治疗的下尿路功能障碍患者200例,将所有患者随机分为两组,分别对200例研究对象采用影像学尿动力与传统的单纯尿动力方法进行检查,影像学尿动力检查为试验组,单穿尿动力检查为对照组。对比并分析两组检查结果。结果影像学尿动力检查结果显示,神经源性排尿功能障碍患者28例,占14.00%。逼尿肌反射亢进伴尿失禁8例;逼尿肌收缩无力伴尿潴留23例;膀胱感觉缺失(减退)16例;输尿管反流1例;逼尿肌膀胱颈协同失调1例。非神经源性排尿功能障碍患者172例,占86.00%。膀胱出口梗阻102例;单纯逼尿肌过度活动10例;逼尿肌收缩无力10例;压力性尿失禁50例。排尿期膀胱经部开放完全59例,占29.50%,部分开放111例,占55.50%,未见开放30例,占15.00%。与试验组相比,单纯尿动力检查结果显示未检测出逼尿肌反射亢进伴尿失禁5例,逼尿肌收缩无力伴尿潴留7例,膀胱感觉缺失(减退)6例,输尿管反流1例,逼尿肌膀胱颈协同失调1例,膀胱出口梗阻16例,单纯逼尿肌过度活动8例,逼尿肌收缩无力3例,压力性尿失禁8例,排尿期膀胱经部开放完全46例,占23.00%,部分开放94例,占47.00%,未见开放60例,占30.00%。差异有统计学意义(P<0.05)。结论尿动力学结合影像学与单纯尿动力学检查相比诊断效果具有显著的优势,可以更加全面的对复杂排尿功能障碍进行检查与诊断,为临床医生进行诊治提供有力的依据,临床上值得推广。Objective To analyze the videourodynamics features of patients with lower urinary tracts voiding dysfunction thus providing basis for the clinical treatment. Methods 200 cases of patients with lower urinary tracts voiding dysfunction in our hospital from January 2013 to January 2016 were selected and randomly divided into two groups, the test group were examined by the imaging urodynamics, while the control group were examined by the traditional simple urodynamics, and the examination results were compared and analyzed. Results The imaging urodynamics examination results showed that there were 28 cases with neurogenic voiding dysfunction, accounting for 14.00%, 8 cases with detrusor hyperreflexia with uroclepsia, 23 cases with detrusor underactivity with retention of urine and 16 cases with bladder sensation anesthesia, 1 case with vsipoueteral reflux syndrome, 1 case with detrusorbladder neck dyssynergia, 172 cases with nonneurogenic urinary dysfunction, accounting for 86.00%, 102 cases with bladder outlet obstruction, 10 cases with simple neurogenic detrusor overactivity, 10 cases with detrusor underactivity, 50 cases with stress incontinence, and there were 59 cases whose urinary bladder completely opened during the voiding period, accounting for 29.50%, 111 cases whose urinary bladder partially opened, accounting for 55.50%, and 30 cases whose urinary bladder did not open, accounting for 15.00%, in the test group, the simple urodynamics examination results showed that there were 5 eases without detrusor hyperreflexia with uroelepsia, 7 cases with detrusor underactivity with retention of urine,6 cases with bladder sensation deficiency, 1 case with vsipoueteral reflux syndrome, 1 case with detrusorbladder neck dyssynergia, 16 cases with bladder outlet obstruction, 8 cases with simple neurogenic detrusor overactivity, and there weer 46 cases whose urinary bladder completely opened during the voiding period, accounting for 23.00%, 94 cases whose urinary bladder partially opened, accounting for 47.00% and 60 cases

关 键 词：下尿路 排尿功能障碍 尿动力学 影像学 

分 类 号：R69[医药卫生—泌尿科学]