高龄良性前列腺增生中小体积前列腺伴膀胱出口梗阻患者的尿动力学特点

发布时间：2018-09-14 21:03

【摘要】：目的探讨高龄良性前列腺增生(BPH)中小体积前列腺伴膀胱出口梗阻(BOO)患者的尿动力学特点。方法年龄70岁的高龄BPH中有BOO的患者115例,根据前列腺体积分为前列腺体积≤30 ml组45例,30 ml组70例,比较两组年龄、血清前列腺特异性抗原(TPSA)水平、残余尿量、最大尿流率(Qmax)、平均尿流率、排尿量、排尿时间、膀胱顺应性、Qmax时膀胱压力、逼尿肌收缩能力。结果前列腺体积≤30 ml组年龄、Qmax时膀胱压力及Qmax时逼尿肌压力均明显低于前列腺体积30 ml组,而残余尿量明显高于前列腺体积30 ml组(P0.05);前列腺体积≤30 ml组逼尿肌收缩乏力发生率明显高于前列腺体积30 ml组(χ~2=3.86,P=0.049)。结论小体积前列腺的BPH,在经尿动力学检查判断为BOO时,合并发生膀胱排空障碍及逼尿肌收缩能力降低的可能性更大。
[Abstract]:Objective to investigate the urodynamic characteristics of small prostate with bladder outlet obstruction (BOO) in elderly patients with benign prostatic hyperplasia (BPH). Methods one hundred and fifteen patients with BOO in BPH aged 70 years were divided into 45 patients with prostatic volume 鈮，

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