尿动力学检查在糖尿病患者膀胱功能评定中的意义

Urodynamic study on evaluation of diabetic patients’ bladder function

目的探讨尿动力学检查在糖尿病患者膀胱功能障碍诊断中的意义. 方法伴有下尿路症状(LUTS)的糖尿病患者42例,年龄38～78岁,男24例,女18例.糖尿病发病1个月～25年. 结果 42例患者完成尿动力学全项检查41例,尿动力学表现异常者38例(93%),尿动力学表现正常3例 (7%);膀胱逼尿肌收缩减低14例(34%);膀胱逼尿肌反射消失10例(24%);膀胱出口梗阻13例(32%,13/41);女性压力性尿失禁1例. 结论伴有LUTS的糖尿病患者膀胱功能异常发生率高,尿动力学检查可以明确膀胱逼尿肌功能,对合并糖尿病的LUTS患者正确诊断和治疗具有重要意义,糖尿病患者行膀胱尿道手术前进行尿动力学检查可提高手术成功率.

Objective To evaluate the bladder functions by urodynamic studies in diabetic patients with lower urinary tract symptoms (LUTS). Methods Urodynamic studies were performed in 42 diabetic patients (24 men and 18 women;age range,38-78 years).The diabetic history of the patients was from 1 month to 25 years. Results Of the 41 cases who underwent all items of urodynamic examination,38 cases (93%) had abnormal findings and 3 (7%),normal.The detrusor was underactive in 14 cases (34%) and areflexia in 10 (24%);BOO was found in 13 (32%).One female patient had stress urinary incontinence. Conclusions There is a high prevalence of bladder dysfunction in diabetic patients with LUTS.It is necessary to perform urodynamic studies in diabetic patients before initiation of therapy,especially in patients who are assigned to undergo bladder and urethral surgery.Preoperative urodynamic studies can contribute to the surgical success rate.