良性前列腺增生逼尿肌收缩异常的尿动力学研究

发布时间：2018-04-10 19:20

  本文选题：良性前列腺增生 + 逼尿肌收缩力　； 参考：《新疆医科大学》2014年硕士论文

【摘要】：目的探讨逼尿肌收缩压测定在BPH患者术后尿动力学的疗效评估中的应用价值。方法BPH患者58例。年龄62-82岁,平均69岁。均行尿动力学检查,明确诊断BOO,排除神经、内分泌以及其他系统疾病因素。根据逼尿肌收缩情况分为2组：I组为逼尿肌正常及增高型33例,逼尿肌收缩压≥40cm H2O,单纯行TURP或开放手术；I1组为逼尿肌减低型25例,逼尿肌收缩压≤25cm H20,同期行TURP和膀胱造瘘术,术后持续开放造瘘管至少2周。统计学比较2组患者术后1,3个月逼尿肌收缩压、Qmax和残余尿等参数。结果2组患者术前最大逼尿肌收缩压分别为(75.55±28.66),(19.52±4.99)cmH2O,Qamx分别为(6.76±2.15),(3.12±1.23)ml/s,组间差异均有统计学意义(P0.05)；术后1月Qmax分别(15.244±2.48),(13.40±2.44)ml/s,组间有差异统计学意义(P0.05)；术后3月Qmax分别为(15.45±1.93),(14.84±1.59)ml/s,组间差异无统计学意义(P0.05)。结论BPH患者BOO解除后,收缩乏力状况可以逐渐恢复,Qmax及残余尿均能能获得改善,对合并逼尿肌收缩无力患者积极手术解除梗阻,可促进逼尿肌功能恢复,尿动力学对于手术前的评价及手术后的恢复具有指导的意义。
[Abstract]:Objective to evaluate the value of detrusor systolic blood pressure (detrusor) in the evaluation of postoperative urodynamics in patients with BPH.Methods 58 patients with BPH were treated.The average age was 69 years.All patients underwent urodynamic examination to diagnose BOO and exclude neuroendocrine and other systemic diseases.According to the contractile condition of detrusor, 33 cases of normal and elevated detrusor, 25 cases of detrusor detrusor were divided into two groups according to detrusor contraction. The systolic pressure of detrusor was 鈮，

本文编号：1732559