良性前列腺增生症尿动力学检查的意义

Clinical value of urodynamics test for benign prostatic hyperplasia

目的 :探讨尿动力学检查对良性前列腺增生症 (BPH)治疗的意义。方法 :通过对 48例 BPH患者的尿动力学检查 ,发现 3例无膀胱出口梗阻 (BOO) ,6例可疑 BOO,39例有不同程度的 BOO,并发逼尿肌不稳定 (DI)9例 ,逼尿肌收缩无力 (逼尿肌收缩力 W-以下 ) 5例 ,高顺应性膀胱 2例 ,低顺应性膀胱 6例。结果 :根据检查结果分别采用 TURP或耻骨后前列腺开放切除术、耻骨上膀胱穿刺造瘘加药物治疗一段时间后再手术、药物治疗三种方法 ,取得较好的效果。结论 :尿动力学检查是判定 BPH患者是否需要手术治疗的客观量化指标 ,引流尿液及使用新斯的明和加兰他敏是治疗逼尿肌收缩无力的有效方法。

Purpose:To investigate the clinical value of urodynamics test for benign prostatic hyperplasia (BPH).Method:Through urodynamics test for 48 cases of BPH,we had found 3 were no BOO, 6 were suspicious BOO, 39 were various degrees of BOO.Among them,9 were complicated with DI acontractile detrusor 2, high compliance bladder 6 lower compliance bladder.Results:Using different treatment methocls such as TURP,retropubic prostatectomy cystostomy and medical treatment we have got better resucts.Conclusion:Urodynamics test was an objective index todetermine whether patients need operation. Drain urine,neostigmine bromide and galanthamine were effective methods to deal with acontractile detrusor.