摘要
目的:探讨女性膀胱出口梗阻患者的影像尿动力学异常表现及临床意义。方法:回顾分析50例女性膀胱出口梗阻患者的影像尿动力检查结果。结果:膀胱颈梗阻21例(42%),中远端尿道梗阻20例(40%),尿道外口梗阻3例(6%),膀胱脱垂4例(8%),尿道憩室2例(4%);储尿症状为主占18%,排尿症状为主占36%,混合症状为主占46%;可见逼尿肌不稳定13例(26%),膀胱顺应性减低24例(48%)。结论:影像尿动力学检查能了解患者逼尿肌的功能状况,并能准确判断下尿路梗阻的解剖水平,为临床治疗的选择提供了可靠的依据。
Objective： To investigate the abnormal appearance and clinical significance of videourodynamic for bladder outlet obstruction in women. Methods： The videourodynamic results from 50 female patients with bladder outlet obstruction were analyzed. Results： 42% of the patients were bladder neck obstruction, 40% were distal urethral stricture, 6% were external orifice of urethra obstruction, 8% of the patients were prolapse of bladder, 4% were urethral diverticulum.18% were storage symptoms, 36% were voiding symptoms,46% were mixed symptoms. 26% of the patients were detrusor overactivity, 48% were lower compliance bladder.Conclusion： Videourodynamic is a specific method for female bladder outlet obstruction. It could evaluate the detrusor function, as well as the precise anatomic location of the bladder outlet obstruction.
出处
《天津医科大学学报》
2008年第4期555-557,共3页
Journal of Tianjin Medical University
关键词
膀胱出口梗阻
影像尿动力学
女性
Bladder outlet obstruction
Videourodynamics
Female
