前列腺增生合并神经系统疾病的尿动力学检查分析

The Analysis of Urodynamic Test in Treating BPH Complicated with Neurogenic Disease

目的探讨前列腺增生合并神经系统疾病患者的尿动力学检查对临床治疗的指导意义。方法回顾分析我科收治的144例前列腺增生合并神经系统疾病患者的尿动力学资料,包括P-Q图及逼尿肌收缩能力的评价。结果 P-Q图提示膀胱出口梗阻70例,P-Q图提示膀胱出口梗阻不明确32例,P-Q图提示膀胱出口无梗阻4例,P-Q图未测出38例。逼尿肌过度活动12例,逼尿肌活动低下或收缩无力36例。结论前列腺增生患者如合并有神经系统疾病,其下尿路症状既可由前列腺增生所致的膀胱出口梗阻引起,亦可由逼尿肌本身功能障碍所引起,部分患者并不存在膀胱出口梗阻;尿动力学检查对正确诊治此类患者具有指导意义。

[ Objective ] To explore the directive significance of urodynamic test in treating BPH complicated with neurogenic disease. [Methods] We retrospectively analyze the urodynamic data of 144 cases of BPH patients with neurogenic disease, including P-Q nomogram and the detrusor contractility. [ Results ] Thi-ough P-Q nomogram, we found that 70 cases had definite bladder outlet obstruction and 32 ca^es had the equivocal status of bladder outlet obstruction. There were also 4 cases with bladder outlet unobsttuction and 36 cases without P-Q nomogram detection for some reasons. 12 cases had bladder overactivity and 36 ca^es had dettUS^t utideractivity or acontractile detrusor. [ Conclusion] The urodynamic test is important for correct diagnosing Bt^H Complicated with neurogenic disease. And it also helps doctors to choose the appropriate therapeutic schedule. If BPH complicated with neurogenic dis- ease, the LUTS symptoms may attribute to bladder outlet obstnletion caused by BPH, or the dysfunction of detrusor. Some of the patients do not have bladder outlet obstruction, The urodynamic test has directive significance in diag- nosing and treating this kind of patients.