尿动力学异常与慢性前列腺炎诊治关系的探讨

Relationship Between the Abnormality of Urodynamics and the Diagnosis and Treatment with the Chronic Prostatitis

目的 :探讨下尿路功能性梗阻与慢性前列腺炎的关系。 方法 :通过尿动力学检查 ,证实 4 2例慢性前列腺炎病人存在下尿路功能性梗阻 ,主要表现有不稳定膀胱、括约肌痉挛、逼尿肌 外括约肌协同失调。 3 8例接受药物治疗 ,4例接受经尿道前列腺激光汽化术。 结果 :3 6例获得随访 ,治愈 2 5例 ( 69.4 % ) ,好转 10例 ( 2 7.8% ) ,无效 1例 ( 2 .8% )。 结论 :下尿路功能性梗阻在慢性前列腺炎的诊治中具有重要意义。

Objectives:To evaluate the relationship between the lower urinary tract functional obstruction and the chronic prostatitis(CP). Methods: By the urodynamic examination,42 cases of patients with CP were diagnosed as having lower urinary tract functional obstruction, including unstable bladder, urethral sphincter spasm and dyssynergia of detrusor-sphincter.38 cases of patients were treated by drug therapy,four cases by transurethral prostatectomy with contact laser system. Results: 36 of all patients were followed up. The cure rate was 69.4%(25/36), imporvement rate was 27.8%(10/36), and noneffective rate was 2.8%(1/36). Conclusions: The lower urinary tract functional obstruction has significance to the diagnosis and treatment of CP.