摘要
目的探讨逼尿肌不稳定(DI)对良性前列腺增生(BPH)并急性尿潴留(AUR)后的尿动力学影响。方法对天津医科大学第二医院2020年5月-2021年3月收治的50例BPH和AUR的DI患者的尿动力学评估进行回顾性分析,并对各因素之间的关联性进行分析。结果50例患者均有膀胱出口梗阻(BOO),40人接受了经尿道前列腺切除术(TURP),10人接受了保守治疗,70-79岁组患者发生DI的例数占比最高。所有患者中有35例存在逼尿肌不稳定(DI),8例逼尿肌无力,4例手术患者术后膀胱顺应性增加。40例患者在TURP术后3个月进行尿动力学检查,以比较术前和术后的尿动力学测量结果和患者的主观感受,DI的幅度与逼尿肌的收缩力呈正相关。结论术前患者DI幅度升高越大,逼尿肌收缩功能就越强,术后效果越满意,而膀胱顺应性增加和逼尿肌无力的患者,术后效果较差。因此,尿动力测试对于选择良性前列腺增生症的治疗方案和评估术后效果具有临床意义。
Objective To investigate the effect of detrusor instability(DI)on urodynamics in patients with Benign prostatic hyperplasia BPH and acute urinary retention(AUR).Methods The urodynamic data of 50 DI patients with BPH and AUR from May 2020 to March 2021 were analyzed retrospectively.Results 50 patients had bladder outlet obstruction(BOO),40 received Transurethral resection of the prostate(TURP)and 10 received conservative treatment.DI occurred most frequently in patients aged 70-79 years.Among all patients,35 had detrusor instability(DI),8 had detrusor weakness,and 4 had increased bladder compliance after surgery.Urodynamic studies were performed in 40 patients 3 months after TURP to compare the preoperative and postoperative urodynamic measurements with the patients'subjective perception.DI amplitude was positively correlated with detrusor contractility.Conclusion The greater the DI amplitude before operation,the stronger the detrusor contractile function and the more satisfied the postoperative effect.The patients with increased bladder compliance and detrusor weakness have worse postoperative effect.Therefore,urodynamic testing is of clinical significance in the selection of treatment options for Benign prostatic hyperplasia and in the evaluation of postoperative outcomes.
作者
胡蒙蒙
Hu Mengmeng(Department of Urology,the Second Hospital of Tianjin Medical University,Tianjin 300222,China)
出处
《首都食品与医药》
2024年第2期32-34,共3页
Capital Food Medicine
关键词
前列腺增生
逼尿肌不稳定
急性尿潴留
尿动力学
Benign prostatic hyperplasia
detrusor instability
acute urinary retention
urodynamics
