尿流动力学检查在前列腺增生手术适应症中的应用

Clinical application of advanced urodynamic analysis of surgical indication in patients with benign prostatic hypertrophy

目的 研究尿流动力学检查在前列腺增生手术适应症中的应用。方法 对 5 2例前列腺增生患者进行术前、术后尿动力学研究。结果 5 2例患者中 46例测出程度不等的膀胱出口部梗阻 ,膀胱出口部梗阻常与其它动力学异常同时存在 ,外科手术可解除膀胱出口部梗阻 ,合并的逼尿肌不稳定 ,逼尿肌 -外括约肌协同失调术后大多可消失 ,但逼尿肌收缩无力术后恢复较差。结论 尿流动力学检查可提供前列腺增生患者膀胱—尿道功能状况 ,为治疗方案设计、手术时机选择以及术后效果评估提供量化参数。

Objective To view the role of urudynamic investigation in the assessment of surgical indication in patients with benign prostatic hypertrophy(BPH).Methods Fifty-two cases of BPH were studied by urodynamic pre-and postoperation.Results The diagnosis rate of bladder outlet obstruction(BOO)was 46 in 52 cases,Other dynamic dysfunctions were concomitant.various surgery modalities was able to relief BOO.detrusor instability and detrusor sphincter dyssynegia also eliminate postoperation.But detrusor dyscontractility was difficult to recover completely.Conclusions The urodynamic tests are helpful to diagnosis of bladder and urethral function in patients with BPH,also sever as an index for the choice of treatment methods and time and the evaluation of treatment outcomes as well.