超声诊断中老年女性前列腺病及临床意义

Clinicnl Signifcance of Ultrasound Diagnosis in Middle-aged and Senile Women with Prostate Disease

目的 探讨中老年女性前列腺病致下尿路梗阻的超声诊断 ,并测定残余尿为临床诊疗提供依据。方法 患者膀胱适度充盈 ,经腹扫查膀胱颈部 ,测量其前、后唇厚度及残余尿量 ,并与正常组对照。结果 2 5例患者膀胱颈前、后唇厚分别为 :(8.16± 1.98) mm、 (7.2 1± 1.6 4 ) mm,正常对照组前、后唇厚度分别为 :(3.2±0 .86 ) mm、 (2 .4 3± 0 .5 7) m m;与正常对照组有显著差异 (P<0 .0 5 )。残余尿量 >5 0 ml者 17例。其中 9例伴有双肾少量积水、膀胱黏膜增厚、增粗。结论 超声检查实用、简便、无痛苦 ,不会导致上行感染 ,能迅速诊断中老年女性前列腺病致下尿路梗阻 ,并能判断其病变程度 ,为临床诊疗提供依据 ,便于掌握和推广应用。

Objective To discuss with ultrasound diagnosis of the middle-aged and senile women with lower urethal obstruction caused by the prostate disease.Methods Abdominal ultrasonography was performed to observe the neck of the filling urinary bladder,and to measure the thickness of the forelabia and hindlabia and to quantify the remnant urine after voiding.The parameters were compared with those of the normal (control) group.Results The thickness of the forelabia and hindlabia in 25 patients (p group) and 10 normals (c group) were 8.16±1.98 mm vs 3.2±0.86 mm and 7.21±1.64 mm vs 2.43±0.57 mm respectively.There were great differences between the two group (all P<0.05).In 17 cases,the remnant urine quantity was over 50 ml,among whom 9 cases had a small amount of hydrocele in both kidneys.The bladder mucous membrane was thicker and rougher in the c group.Conclusions Ultrasound examination is practical,quick,conveniant,easy to be mastered,not painfal and would not lead to ascending infection.It can judge the severcty of lesions,provide clinical basis for the diagnosis and treatment in women's prostate disease,and be worthy for wide use.