尿道狭窄的尿动力学检查及其临床意义

Clinical Significance of Urodynamic Examinations in Urethral Stricture

对178例尿道狭窄(US)病人行尿动力学检查。包括尿流率(UFR)、膀胱测压、排尿期膀胱尿道造影和电视下的尿道功能观察。对UFR与临床症状体征的关系、最大尿流率(Qmax)、相对尿道阻力(RVR)与综合性尿动力学检查判断US和术后疗效的临床意义进行了讨论。作者强调了Qmax、UFR曲线形态对早期诊断US与评价术后疗效的重要性。

178 cases of urethral stricuture were examined urodynamically. These examinations included uroflownetry, cystometry, voiding cystourethrography and urethral functional observations under the televi- sion. Correlation of uroflowmetry with symptomatology, clinical significance of Qmax, RVR and symphysis examinations of urodynamics in the diagnosis of urethral strictures and evaluation of postoperative results are discussed. The author emphasize the importance of uroflowmetry and flow curves morphology in the early diagnosis and evaluation of postoperative results.