摘要
目的 探讨合并神经系统疾病的前列腺增生症的膀胱逼尿肌功能异常。方法 对40例合并神经系统疾病的前列腺增生症患者进行尿动力学检查分析,包括充盈性膀胱测压、压力/流率同步检查。结果 40例检测结果:Qmax,2.1～12ml/sec,平均5.96ml/sec,最大膀胱容量66～600ml,平均285.97ml,最大逼尿肌压力(Pder)O～149cmH_2O,平均64.9cmⅡ_2O,逼尿肌不稳定(DI)6例(15％),逼尿肌无力10例(25%)。BC值:本组BC值<30者22例,则低顺应性膀胱22例,BC值>30者10例,其中高顺应性膀胱10例。结论 尿动力学检查有助于了解合井神经系统疾病的前列腺增生症患者的膀胱逼尿肌功能改变,明确患者排尿困难的原因,指导诊断和选择治疗方法,预测预后和判断疗效。
Objective To study the detrusor dysfunction in patients with benign prostatic hyperplasia (BPH) complicated nervous system deseases. Methods Urodynamic data of 40 patients with BPH complicated nervous system diseases was analyzed. Results The mean maximum flow ratc(Qtnax)was 5. 96ml/sec,the mean maximum cystometric bladder capacity (MCBC)was 285. 97ml, the mean detrusor pressure was 64. 9cm H2O,the mean bladder compliance (BC) was 28. 6/cmH2O,the BC in 22 patients was smaller than 30,and 10 patients was bigger than 30. There were 6 patients with detiusor instability,and 10 patients with detrusor underactivity.Conclusion Urodynamie examination reveals detrusor dysfunctionfunction in patiats with benign prostatic hyperptasia complicated nervous system deseases,and it can determine the eause of difficulity in voiding,and is important in the diagnosis and the seletion of the treatment for the patients.
出处
《现代泌尿外科杂志》
CAS
2002年第3期157-158,共2页
Journal of Modern Urology
