摘要
目的 探讨以剩余尿 (PVR)量作为良性前列腺增生手术指征标准的可能性。 方法 将不同剩余尿量的 10 3例BPH患者分为 3组 ,A组无PVR ,B组PVR <60ml,C组PVR >60ml。分别进行尿动力学检查。 结果 3组间膀胱测压容积、逼尿肌等容收缩压 (Piso)和高顺应性膀胱、低顺应性膀胱、逼尿肌反射亢进、逼尿肌反射减弱的相互比较差异无显著性意义 (P >0 .0 5 ) ;B、C组不稳定性膀胱 (DI)、最大尿流率 (Qmax)、Griffiths组间特异性尿道阻力因子 (URA)及逼尿肌储能 (DR)相互比较差异无显著性意义 (P >0 .0 5 ) ,但与A组相比较差异有显著性意义 (P <0 .0 5 )。 结论 PVR≥ 60ml并非是BPH患者接受手术治疗的绝对量化指征 ,当BPH引起膀胱出口梗阻 (BOO)及排尿功能受到损害出现PVR时 ,在排除其他因素引起逼尿肌无力所致的PVR后 。
Objective To study the volume of residual urine as related to the surgical indication for BPH. Methods Urodynamic study was carried out in 103 BPH patients who were assigned to group A (no residual urine),group B (residual urine<60 ml) and group C (residual urine 60～100 ml). Results Qmax,URA,DR and DI were not significantly different between group C and group B (P>0.05) but significantly different between group C and A or between B and A (P<0.05). Conclusions The conventional conception that surgical intervention is indicated when the residual urine being>60 ml should be strictly followed.Early surgical intervention should be undertaken if the bladder ontlet obstruction or bladder function deteriorated by BPH causing residual uine.Other causes such as neurogenic should be ruled out before surgery.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2003年第2期128-130,共3页
Chinese Journal of Urology
关键词
前列腺增生
剩余尿
尿动力学
Benign prostatic hyperplasia
Residual urine
Urodynamics
