摘要
【目的】探讨良性前列腺增生症（BPH）合并糖尿病（DM）行尿动力检查的意义与必要性。【方法】老年（60岁以上）患者116例，其中BPH合并DM患者56例，单纯性BPH患者60例，均进行尿动力检查。[结果]BPH合并DM组膀胱感觉过敏与不稳定膀胱、膀胱感觉功能减退、顺应性增加、膀胱初始尿意容量、最大膀胱测压容积、排尿后剩余尿量均显著高于单纯BPH组（P〈0．05～P〈0．01）；膀胱出口梗阻（BOO）倒数与排尿期最大逼尿肌压力，显著低于单纯BPH组（P〈0．01）。【结论】与单纯BPH患者比较，BPH合并DM患者的尿动力学典型表现为膀胱感觉功能减退与逼尿肌收缩功能减退更明显，膀胱容量及排尿后残余尿量增加。对于此类患者建议术前行尿动力检查。如具备手术适应证，应在控制血糖的同时，及早行手术治疗。
[Objective] To investigate the significance of urodynamic study in patients of benign prostate hyperplasia（BPH） with diabetes mellitus（DM）. [Methods] A total of 116 cases of BPH were divided into two groups. Fifty six cases were patients of BPH with DM and 60 cases were patients of single BPH. All the cases underwent urodynamic study. [Results]In the BPH with DM group, the hypersensitiveness and instability of bladder, the hypofunction of bladder sensation, the increased compliance, the capacity of bladder incipient micturation desire, the maximum cystometry capacity and postvoid residual were significantly higher than those in the single BPH group（ P 〈0.05- P 〈0.01）. The rate of BOO and the maximum detrusor pressure during voiding in the BPH with DM group were significantly higher than those in the single BPH group （ P 〈0.01）. There were significant differences between two groups. [Conclusion] Comparing with patients of single BPH, the typical urodynamic manifestations of patients of BPH with DM were the hypofunction of bladder sensation and detrusor contractile capacity, and the increased bladder capacity and postvoid residual. Patients of BPH with DM should undergo urodynamic study before operations. If patients of BPH with DM have the surgical indications, operations should be done after blood glucose levels are controlled.
出处
《医学临床研究》
CAS
2009年第3期411-413,共3页
Journal of Clinical Research
