摘要
目的:探讨尿动力学检查对腰椎间盘突出症患者膀胱功能评定的意义。方法:把42例腰椎间盘突出症患者分成2组,组Ⅰ(有下尿路症状组)29例和组Ⅱ(无下尿路症状组)13例,最大逼尿肌压力(maximal detrusor pressure,MDP)、残余尿(residual urine,RU)和膀胱顺应性(bladder compliance,BC),比较其结果。结果:组Ⅰ均存在神经源性损害,组Ⅱ中有8例存在神经源性损害。组Ⅰ和组Ⅱ的MDP、RU均有极显著差异(P<0.01),BC有显著差异(P<0.05)。结论:尿动力学检查可明确腰椎间盘突出症伴下尿路症状患者的膀胱功能及神经病学特征,对于无下尿路症状的患者能早期发现膀胱神经源性损害,指导该类患者的治疗。
Objective:To evaluate the bladder function by urodynamic studies in the patients with lumbar disc herniation. Methods:A total of 42 cases with lumbar disc herniation were divided into 2 groups, 29 cases with lower urinary tract symptoms (LUTS) were used in group Ⅰ, 13 cases without LUTS in group Ⅱ. All patients underwent maximal detrusor pressure (MDP), residual urine (RU) and bladder compliance (BC) examination. The results were compared. Results:Neuropathic injuries were found in 29 cases in group Ⅰ and in 8 out of 13 cases in group Ⅱ. There was a significant statistic difference between group Ⅰ and group Ⅱ among following parameters MDP, RU (P〈0.01) and BC (P〈0.05). Conclusion: Urodynamics can identify bladder function and neuropathic characteristics of LUTS in patients with lumbar disc herniation. Neuropathic injury can be found in patients without LUTS during the early period and give some guidance to the clinical treatment.
出处
《中国临床医学》
北大核心
2007年第2期211-212,共2页
Chinese Journal of Clinical Medicine