摘要
１９９５年１０月至１９９６年５月，对４６例前列腺肥大行前列腺切除的患者术前行美国泌尿科学会／国际前列腺症状评分（ＡＵＡ／ＩＰＳＳ），经直肠Ｂ超检查及尿动力学检查，将结果结合术中所见及术后０．５～７个月的随访情况进行分析。由术前检查预测术后疗效。前列腺肥大产生的不稳定膀胱不是手术禁忌症，解除梗阻后大多数对排尿功能无明显影响；术前检查显示的高顺应性膀胱，尤其为低压力、低流率改变时，是否手术应慎重考虑，因其产生术后排尿困难的可能性较大；术前存在不稳定膀胱且膀胱顺应性降低、尿道压力低的患者，术后短期内有发生尿失禁的可能；尿动力学检查在前列腺切除术的手术指征选择、疗效判断、预后估计以及病人情况监测、鉴别各种手术合并症方面具有极为重要的意义。
From October 1995 to May 1996, IPSS score, rectal B ultrasonography and urodynamics parameters were used in 46 patients with benign prostatic hypertrophy before prostatectomy, to determine if any could predict voiding function after prostatectomy(IPSS symptom score, prostatic hyperplasia types and follow up results 0.5￣7 months). This study demonstrates that detrusor instability is not the contraindication of prostatectomy and does not affect the voiding function post operatively. In high compliance bladder, especially low pressure low flow, operation should be performed carefully, dysuria may be happened otherwise. If the patients with detrusor instability, decreased compliance bladder and low urethral pressure, urinary incontinence may be happened. Urodynamics is vital in determining operation indication, predicting curative effect and identification of operative complication.
出处
《中山医科大学学报》
CSCD
1997年第1期51-53,共3页
Academic Journal of Sun Yat-sen University of Medical Sciences
关键词
尿动力学
前列腺肥大
切除术
urodynamics
prostatic hypertrophy
prostatectomy
treatment outcome
