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尿动力学检查在高龄高危前列腺增生症治疗中的作用
The Urodynamic Check Senile and High Risk of Prostate Hyperplasia Treatment Effect Analysis
【摘要】 目的:探讨治疗高龄高危前列腺增生症(BPH)患者尿动力学检查的意义。方法:对160例高龄高危BPH患者进行尿动力学检查后选择恰当的治疗方式,对治疗后病人情况进行分析。结果:通过尿动力学检查后选择治疗方案后,明确诊断膀胱出口梗阻(BOO)选择手术治疗的与治疗前相比,QOL、IPSS评分显著性降低;尿动力学各项观察指标显著改善;对逼尿肌无力,高顺应性膀胱、膀胱感觉减退选择保守治疗(留置导尿或单纯膀胱造瘘)的病人生活质量明显改善。结论:通过尿动力学检查能正确判断患者的BOO和膀胱逼尿肌功能,做出BPH的治疗方案。
【Abstract】 Objective:To investigate the urodynamic senior citizens at high risk of prostate hyperplasia treatment in the application of the effect. Methods: 160 patients with BPH underwent the urodynamics, all were controlled by symptomatic treatment.and contrast clinical effect. examine. Results: Diagnosed with bladder outlet obstruction(BOO) to selection the operation mode,after the treament the QOL,IPSS was at significantly lower than before(P<0.05), each observation index of urodynamics was be a marked improvement(P<0.05).Conclusion: Urodynamic provides a definite means for the diagnosis of BPH,and it can show the detrusor function,the pathologicalmechanism for the symptoms,hence,improve the effects of operation.
【Key words】 High risk and advanced age; Prostatic hyperplasia; Benign prostatic hypertrophy; Urodynamics; Bladder detrusor function;
- 【文献出处】 中国医药导刊 ,Chinese Journal of Medicinal Guide , 编辑部邮箱 ,2013年11期
- 【分类号】R697.3
- 【被引频次】4
- 【下载频次】42