赵长林 宋永胜 刘同才 曾庆有 李学孔 冯世民 邱国战 褚庆军 郝毅松 110024 沈阳医学院附属中心医院泌尿外科(赵长林、曾庆有、李学孔、冯世民、邱战、褚庆军、郝毅松)；中国医科大学第二临床学院泌尿外科(宋永胜)；第一临床学院泌尿外科(刘同才) 中华老年医学杂志 1999 0 18 1


    关键词：前列腺增生；排尿障碍 期刊 zhlnyxzz 0 临床研究 fur -->


    

【摘要 】 目的 探讨前列腺增生症(BPH)患者逼尿肌功能变化的尿动力学特点及其临床意义。 方法 应用尿动力学技术，检查35例BPH患者的尿流率、膀胱充盈期和排尿期压力、膀胱感觉，观察膀胱容量-压力相关关系，测定剩余尿量，评估膀胱的稳定性、顺应性及逼尿肌受损程度。 结果 逼尿肌不稳定22例(62.9%)，逼尿肌收缩功能受损8例(22.9%)，膀胱顺应性改变5例(14.2%)，表明BPH可引起逼尿肌功能变化。 结论 尿动力学对判断逼尿肌功能状态、确定排尿功能障碍原因、选择药物治疗或手术适应证有重要意义。

A clinical study on urodynamic change of bladder detrusor in benign prostatic hyperplasia

ZHAO Changlin ^* ,SONG Yongsheng ,LIU Tongcai ,et al .^*

    Urological Department, Central Hospital of Shenyang Medical College, Shenyang 110024

【Abstract 】 Objective To study the urodynamic change of bladder detrusor and its clinical significance in benign prostatic hyperplasia(BPH). Methods By urodynamic technique, the urine flow rate, filling and voiding pressure in bladder, sense on bladder and the residual volume were examined in 35 cases of BPH in order to investigate the relation between bladder capacity and its pressure, to evaluate the stability, the compliance and the impairment of the detrusor. Results There were unstable detrusor in 22 cases (62.9%); impaired contraction of detrusor in 8 cases (22.9%); compliance change in 5 cases (14.2%). These showed that BPH could result in the changes of the destrusor. Conclusions Urodynamic examination is very important in evaluating the detrusor function, the causes of urination disorders, the choice of medication and operative indications.

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