良性前列腺增生患者手术前后尿动力学检查的应用价值(1)
摘 要：目的 研究良性前列腺增生患者手术前后尿动力学检查的临床应用价值。方法 回顾分析2017年8月～2018年8月在我院进行手术治疗的62例良性前列腺增生患者的临床资料，对比手术前后Qmax、VMCC及PVR，观察预后及疗效。结果 62例患者中伴不稳定性膀胱39例(60.53%)，低顺应性膀胱10例(18.51%)，不稳定膀胱合并低顺应性膀胱7例(11.29%)，逼尿肌收縮受损6例(9.67%)；术后随访1个月，治愈36例(58.06%)，显效18例(29.03%)，无效8例(12.90%)。其中排尿困难5例，尿失禁3例。8例无效患者术后4个月随访，均治愈；术后1个月、5个月患者Qmax、VMCC高于术前，PVR低于术前，差异有统计学意义(P<0.05)。结论 良性前列腺增生患者手术前后进行尿动力学检查，对术前诊断、术后效果评价具有重要价值，对患者的快速康复具体指导意义。
关键词：良性前列腺增生；前列腺电切术；尿动力学；前列腺症状评分
中图分类号：R699.8 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.23.034
, 百拇医药
文章编号：1006-1959(2018)23-0124-02
Abstract：Objective To study the clinical value of urodynamic examination before and after operation in patients with benign prostatic hyperplasia.Methods The clinical data of 62 patients with benign prostatic hyperplasia who underwent surgical treatment in our hospital from August 2017 to August 2018 were retrospectively analyzed.Comparison of Qmax，VMCC and PVR before and after surgery was made，so were the observation of prognosis and curative effect.Results In the total of 62 cases ，there were 39 cases (60.53%) with unstable bladder， 10 cases (18.51%) with low compliance bladder， 7 cases (11.29%) with unstable bladder with low compliance bladder， 6 cases (9.67%) with detrusor contraction damage.Follow-up for 1 month showed that 36 cases (58.06%) were cured， 18 cases (29.03%) were effective， and 8 cases (12.90%) were ineffective.Among them， 5 cases had dysuria and 3 cases had urinary incontinence.8 cases of ineffective patients were followed up for 4 months， all of them were cured.At 1 month and 5 months after operation， Qmax，VMCC was higher and PVR was lower than that before operation，the difference was statistically significant (P< 0.05).Conclusion Urodynamic examination before and after operation in patients with benign prostatic hyperplasia is of great value in preoperative diagnosis and postoperative evaluation as well as of practical significance for the rapid rehabilitation of patients.
, 百拇医药
Key words：Benign prostatic hyperplasia；Prostatectomy；Urodynamics；Prostate symptom score
前列腺增生(hyperplasia of prostate)是临床常见病，研究显示多发于中老年男性，属于良性病变，也是导致男性下尿路梗阻的常见原因[1，2]。准确把握膀胱出口道梗阻(BOO)、逼尿肌功能对临床的治疗判断具有至关重要的作用。尿动力学检查作为评定前列腺功能的重要指标，在手术前后进行，可以对膀胱出口有无梗阻、梗阻严重程度以及比尿急功能进行准确判断，为术后效果评价提供参考[2]。本文回顾性在我院行手术治疗的62例良性前列腺增生患者手术前后尿动力学检查结果，现报告如下。
1 资料与方法
1.1一般资料 选择2017年8月～2018年8月在景德镇第二人民医院泌尿外科进行手术治疗的62例良性前列腺增生患者。纳入标准：①伴有尿急、尿频、夜尿多、排尿困难等症状；②经直肠指诊检测，B超确诊；③年龄65～80岁。排除标准：①合并严重的肝、肾、心脏等严重并发症；②语言障碍、精神障碍者；③年龄>80岁。患者年龄65～80岁，平均年龄(68.89±2.11)岁；前列腺体积18.20～61.44 ml，平均体积(39.67±0.30)ml。, 百拇医药(张细初)
关键词：良性前列腺增生；前列腺电切术；尿动力学；前列腺症状评分
中图分类号：R699.8 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.23.034
, 百拇医药
文章编号：1006-1959(2018)23-0124-02
Abstract：Objective To study the clinical value of urodynamic examination before and after operation in patients with benign prostatic hyperplasia.Methods The clinical data of 62 patients with benign prostatic hyperplasia who underwent surgical treatment in our hospital from August 2017 to August 2018 were retrospectively analyzed.Comparison of Qmax，VMCC and PVR before and after surgery was made，so were the observation of prognosis and curative effect.Results In the total of 62 cases ，there were 39 cases (60.53%) with unstable bladder， 10 cases (18.51%) with low compliance bladder， 7 cases (11.29%) with unstable bladder with low compliance bladder， 6 cases (9.67%) with detrusor contraction damage.Follow-up for 1 month showed that 36 cases (58.06%) were cured， 18 cases (29.03%) were effective， and 8 cases (12.90%) were ineffective.Among them， 5 cases had dysuria and 3 cases had urinary incontinence.8 cases of ineffective patients were followed up for 4 months， all of them were cured.At 1 month and 5 months after operation， Qmax，VMCC was higher and PVR was lower than that before operation，the difference was statistically significant (P< 0.05).Conclusion Urodynamic examination before and after operation in patients with benign prostatic hyperplasia is of great value in preoperative diagnosis and postoperative evaluation as well as of practical significance for the rapid rehabilitation of patients.
, 百拇医药
Key words：Benign prostatic hyperplasia；Prostatectomy；Urodynamics；Prostate symptom score
前列腺增生(hyperplasia of prostate)是临床常见病，研究显示多发于中老年男性，属于良性病变，也是导致男性下尿路梗阻的常见原因[1，2]。准确把握膀胱出口道梗阻(BOO)、逼尿肌功能对临床的治疗判断具有至关重要的作用。尿动力学检查作为评定前列腺功能的重要指标，在手术前后进行，可以对膀胱出口有无梗阻、梗阻严重程度以及比尿急功能进行准确判断，为术后效果评价提供参考[2]。本文回顾性在我院行手术治疗的62例良性前列腺增生患者手术前后尿动力学检查结果，现报告如下。
1 资料与方法
1.1一般资料 选择2017年8月～2018年8月在景德镇第二人民医院泌尿外科进行手术治疗的62例良性前列腺增生患者。纳入标准：①伴有尿急、尿频、夜尿多、排尿困难等症状；②经直肠指诊检测，B超确诊；③年龄65～80岁。排除标准：①合并严重的肝、肾、心脏等严重并发症；②语言障碍、精神障碍者；③年龄>80岁。患者年龄65～80岁，平均年龄(68.89±2.11)岁；前列腺体积18.20～61.44 ml，平均体积(39.67±0.30)ml。, 百拇医药(张细初)