女性复杂性下尿路感染患者影像尿动力学检查的临床意义  

Video urodynamic examination for female patients with complex urinary tract infection

作　　者：陈峰[1,2,3] 俞丽婷[3] 徐哲丰[3] 徐胜利[3] 徐庆康 翁志梁[1] CHEN Feng;YU Liting;XU Zhefeng(Department of Urology,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属第一医院泌尿外科,325000 [2]温州医科大学 [3]武警浙江总队医院泌尿外科

出　　处：《浙江医学》2019年第2期161-163,166,共4页Zhejiang Medical Journal

基　　金：浙江省医学会临床科研基金项目(2017ZYC-A83)

摘　　要：目的探讨女性复杂性下尿路感染患者影像尿动力学(VUD)检查的临床意义。方法对103例女性复杂性下尿路感染患者进行VUD检查(包括自由尿流率测定、膀胱充盈期、排尿期功能测定、同步影像显示等),并分析检查结果,以明确引起复杂性下尿路感染的病因。结果根据VUD分析结果,103例女性复杂性下尿路感染患者患者的病因主要有3类:(1)膀胱出口梗阻78例,其中合并逼尿肌过度活动39例,逼尿肌-括约肌协同失调4例(排尿期逼尿肌收缩良好3例,逼尿肌无反射1例);(2)膀胱脱垂15例(包括中央型11例、外侧型4例),合并逼尿肌过度活动3例;(3)尿道憩室10例,伴憩室结石1例。结论 VUD检查有助于明确女性复杂性下尿路感染的病因,为临床治疗提供依据。Objective To evaluate the application of video urodynamics(VUD) in female patients with complicated urinary tract infections. Methods One hundred and three female patients with complicated lower urinary tract infections underwent VUD examination,the free urinary flow rate, bladder filling period, urination function measurement and synchronous imaging display were documented. The results were analyzed to identify the etiology of complex lower urinary tract infections. Results The VUD examination revealed that there were 78 cases of bladder outlet obstruction. Thirty-nine cases complicated with detrusor overactivity and 4 cases complicated with detrusor-sphincter dyssynergy. Fifteen cases of bladder prolapse, including 11 cases of central type and 4 cases of lateral type, and 3 cases complicated with detrusor overactivity. Ten cases of urethral diverticulum, including 1 case complicated with diverticular calculi. Conclusion VUD examination is helpful to clarify the etiology of complicated lower urinary tract infections and provides evidences for clinical treatment.

关 键 词：女性 复杂性下尿路感染 诊断 影像尿动力学 

分 类 号：R691.3[医药卫生—泌尿科学]