中青年男性不明原因排尿异常的尿流动力学分析

A urodynamic analysis of unknown abnormal urination in male adults

对50例40岁以下成年男性不明原因长期尿频、排尿困难及耻骨会阴疼痛患者膀胱尿道测压发现:96％存在着功能性尿道梗阻,表现为后尿道压力和（或）长度升高,可为酚妥拉明逆转。有不稳定膀胱、逼尿肌无力和高顺应性膀胱者分别为48％、18％和8％。有否排尿困难与尿道梗阻程度及膀胱功能状况有关。尿流动力学检查有助于病因分析和指导临床治疗。

50 male adults youger then 40 who suffered from unknown frequency dysuria, and per-ineal pain were presented. In which bladder and urethral pressure monitoring was made. It was revealed fhat (1) there were funetional urethral obstruction in 96% of them,which was characterized by elevated urethral pressure and(or) urethral longth,and could be reversed by phentolaminei (2) the incidence of unstable bladder,detrusor atonia.and high compliance bladder was respectively 48%, 18% and 8%. Having dysurid or not was associated with the degree of urethral obstruction and functional condition of bladder. Urodynamic study was helpful to etiologic analysis as well as clinical treatment.