[1]张细初.良性前列腺增生患者手术前后尿动力学检查的应用价值[J].医学信息,2018,31(23):124-125.[doi:10.3969/j.issn.1006-1959.2018.23.034]
　ZHANG Xi-chu.The Value of Urodynamic Examination before and after Operation in Patients with Benign Prostatic Hyperplasia[J].Journal of Medical Information,2018,31(23):124-125.[doi:10.3969/j.issn.1006-1959.2018.23.034]
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良性前列腺增生患者手术前后尿动力学检查的应用价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年23期
页码:
124-125
栏目:
临床研究
出版日期:
2018-12-01

文章信息/Info

Title:
The Value of Urodynamic Examination before and after Operation in Patients with Benign Prostatic Hyperplasia
文章编号:
1006-1959（2018）23-0124-02
作者:
张细初
景德镇第二人民医院泌尿外科，江西 景德镇 333000
Author(s):
ZHANG Xi-chu
Department of Urology,the Second People's Hospital,Jingdezhen333000,Jiangxi,China
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
Keywords:
Benign prostatic hyperplasia; Prostatectomy; Urodynamics; Prostate symptom score
分类号:
R699.8
DOI:
10.3969/j.issn.1006-1959.2018.23.034
文献标志码:
A
摘要:
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%），逼尿肌收缩受损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。
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.

参考文献/References:

[1]汤尧.尿动力学检查在前列腺增生症术前评估中的作用[J].临床医学研究与实践,2016,18(1):51,53.
[2]姜文元,蔡学辉,潘勇,等.前列腺增生症术前尿动力学检查的意义[J].中国实用医药,2015,10(2):75-76.
[3]吴清国,黄向华,覃斌,等.尿动力学联合经直肠超声检查在良性前列腺增生症患者术前评估中的应用价值[J].临床和实验医学杂志,2015,14(10):814-816.
[4]刘晓东,李雪洁,王延虎,等.尿动力学检测在合并急性尿潴留的良性前列腺增生症中的临床意义[J].内蒙古医学杂志,2014,46(10):1168-1170.

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更新日期/Last Update: 2018-12-17