尿动力学检测在ⅢB型前列腺炎治疗选择中的意义

Urodynamic tests contribute to the choice of therapies for type-ⅢB prostatitis

目的：分析ⅢB型前列腺炎患者尿动力学相关参数,评价尿动力学检查结果对其治疗选择的意义。方法：选择87例中重度下尿路症状的ⅢB型前列腺炎且常规治疗效果不佳患者,年龄22~45（30.7±8.5）岁,行尿动力学检查,根据不同检查结果选用相应治疗,观察疗效。结果：87例患者中有70例患者有尿动力学异常,其中表现为膀胱出口梗阻28例（32.2%）,逼尿肌过度活动25例（28.7%）,膀胱感觉过敏18例（20.7%）,低顺应性膀胱10例（11.5%）,逼尿肌-外括约肌协同失调1例（1.1%）,逼尿肌功能受损1例（1.1%）;对本组患者治疗后,显著有效者26例（29.9%）,有效者51例（58.6%）,无效者10例（11.5%）。结论：对中重度下尿路症状的ⅢB型前列腺炎患者行尿动力学检查对其治疗选择具有重要的意义。

Objective： To analyze the parameters of urodynamic tests for patients with type-ⅢB prostatitis and evaluate the significance of the results of urodynamic tests in the choice of therapies for this disease. Methods： Urodynamic tests were performed for87 type-ⅢB prostatitis patients aged 22- 45（ 30. 7 ± 8. 5） years,who had moderate or severe lower urinary tract symptoms（ LUTS）and failed to respond to routine therapy. Different treatments were administered according to the results of urodynamic tests followed by observation of the therapeutic effects. Results： Urodynamic abnormalities were found in 70 of the 87 patients,bladder outlet obstruction in 28（ 32. 2%）,detrusor overactivity in 25（ 28. 7%）,bladder hyperesthesia in 18（ 20. 7%）,low compliance in 10（ 11. 5%）,detrusor-external urethral sphincter dyssynergia in 1（ 1. 1%）,and impaired detrusor contractile function in 1（ 1. 1%）. Treatments achieved obvious effectiveness in 26 cases（ 29. 9%）,effectiveness in 51（ 58. 6%）,and no effectiveness in 10（ 11. 5%）. Conclusion： Urodynamic tests contribute significantly to the choice of therapies for type-ⅢB prostatitis patients with moderate or severe LUTS.