摘要
目的 提高特发性膀胱收缩无力症的治疗效果。 方法 采用行为调节、药物以及手术等方法治疗原因不明的膀胱排尿功能障碍尿潴留病人１５ 例。男１２ 例，女３ 例。年龄２８ ～７２ 岁，平均５５ 岁。膀胱剩余尿３００ ～１ ０００ｍｌ，最大尿流率小于７ｍｌ／ｓ，膀胱内压小于１０ｃｍＨ２Ｏ，最大尿道压５０～９５ｃｍＨ２Ｏ。 结果 经过行为调节治疗，降低后尿道阻力和增强膀胱逼尿肌收缩力等药物治疗，以及经尿道电切术，１０ 例临床治愈，其中７ 例剩余尿小于５０ｍｌ，３ 例为５０～１００ｍｌ。最大尿流率１２－５～１８ｍｌ／ｓ，平均１２－９ｍｌ／ｓ。 结论 特发性膀胱收缩无力症病因不清，但经防止膀胱过度充盈，降低尿道阻力，提高膀胱收缩力等综合治疗可以取得较好的结果。
Objective To evaluate and to improve the treatment of idiopathic detrusor failure. Methods 15 cases,12 male and 3 female,were subjected to the clinical treatment including behavior management,α adrenoreceptor antagonist to decrease the post urinary tract pressure,drug to increase detrusor contraction and TUR surgery.The age of the patients was 28～78 with a mean of 55.PVR was 300～ 1 000 ml,MFR being less than 7ml/s,filling bladder pressure less than 10cmH 2O and MUP 50～95cm H 2O. Results 10 of the 15 patients have been cured. Conclusions An efficient combination treatment by avoiding bladder over filling,decreasing the urinary tract pressure and increasing the detrusor contraction would be effective in the treatment of idiopathic detrusor failure.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2000年第2期105-106,共2页
Chinese Journal of Urology
