【摘要】 目的:探讨前列腺增生症(BPH)患者术前尿动力学检查的意义。方法:对306例患者术前进行尿动力学检查,并对术后症状改善情况进行分析。结果:术前膀胱出口梗阻(BOO)合并膀胱逼尿肌功能损害较轻,或基本正常的患者术后疗效理想,合并逼尿肌收缩功能障碍(IDC)的大部分患者术后1个月内恢复,排尿通畅、尿频等症状减轻或消失。术后半年仍疗效不佳的60例患者中,术前逼尿肌不稳定(DI)13例,逼尿肌低顺应性17例,逼尿肌活动低下(DUA)25例,膀胱出口仍有梗阻5例。结论:造成BPH术后疗效不佳的主要原因与逼尿肌的功能受损有关。尿动力学检查能正确判断患者是否有BOO,还可评估膀胱逼尿肌功能,从而对BPH的治疗方案、治疗时机的选择,特别是对术后疗效的预测、评估及查明疗效不佳的原因有着重要的指导作用。更多还原

【Abstract】 Objective:To evaluate the significance of urodynamic detection before operation in the patients with benign prostatic hyperplasia(BPH).Methods:306 cases of BPH were performed the urodynamic detect before operation and the status of symptomatic improvements after operation were analyzed.Results:The cases of preoperative bladder outlet obstruction(BOO) complicating mildly impairing or basically normal detrusor function had more satisfactory effects.The most cases of complicating contraction function impairment of detrusor muscle were recovered with unblocked urination and alleviation or disappearance of frequent micturition within postoperative 1 month.Among 60 cases of poor therapeutic effects at half a year after surgery,the detrusor instability(DI) occurred in 13 cases,low compliance of detrusor muscle in 17 cases,detrusor under activity(DUA) in 25 cases and BOO in 5 cases.Conclusion:The main causes leading to the poor therapeutic effects of prostatectomy in BPH patients are related with detrusor function damage.Urodynamic detection has the important guiding function in correctly judging whether the patients has BOO,evaluating the detrusor function,choosing the treatment scheme and the operation time for BPH,especially predicting the effect of prostatectomy,evaluation and searching of the causes of poor therapeutic effects.更多还原