摘要
对主诉为排尿困难和(或)盆底部疼痛的病人510例行四导程尿流动力学检查。分析其临床表现及尿流动力学检查等结果,360例属膀胱出口梗阻(BOO),含神经源性功能性BOO 77例,非神经源性BOO 283例,其中机械性梗阻239例(BPH 189例,膀胱颈梗阻即BNO 45例。远端尿道缩窄即DUS5例),功能性梗阻44例(外括约肌痉挛症24例,特发性非神经源性尿道内括约肌痉挛症即MNISS 20例)。同时检出非梗阻性特发症MNISS13例,其尿道交感神经兴奋性增高是盆底内脏交感神经兴奋性增高的表现。
According to the result of 510 cases of four-channel urodynamic evaluation for those patients complained of voiding dysfunction and pelvic pain, combined with their symptomatic analysis and other examination, 360 cases were diagnosed as bladder outlet obstruction (BOO). Among them, 77 cases were neuro-genic in origin, occuring in internal and/or external sphincter levels, other 283 cases were nonneurogenic in origin. The latter group could be subdivided into 239 cases of mechanical BOO (BPH 189 cases, bladder neck obstruction, ie BNO, 45 cases,distal urethral stenosis, ie DUS, 5 cases) and 44 cases of functional BOO (external sphincter spasticity syndrome 24 cases, idiopathic non-neurogenic internal sphincter spasticity syndrome, ie MNISS, 20 cases). Thirteen cases of unobstructive idiopathic MNISS were ascertained, characterized by urethral sympathetic hyperactivity, perhaps reflexing an increased pelvic viseral sympathetic activity.
出处
《现代泌尿外科杂志》
CAS
1997年第2期74-77,共4页
Journal of Modern Urology
关键词
膀眈出口梗阻
尿流动力学
节胺唑啉
交感神经
Bladder outlet obstruction
Urodynamics
Phentolamine
Sympathetic nerve
