女性膀胱白斑患者电切术前后尿动力学检查的临床应用价值

发布时间：2018-12-28 09:42

【摘要】：目的探讨尿动力学检查在女性膀胱白斑患者电切术前后的临床应用价值。方法选取2014年9月-2016年1月该院经尿道电切术治疗的37例女性膀胱白斑患者,分别进行术前和术后3~6个月尿动力学检查。观察术前尿动力学检查和手术前后尿动力学变化的特点。结果 30例患者术前尿动力学检查异常,占全部患者的81.1%,主要表现为逼尿肌过度活动、膀胱感觉增强、膀胱出口梗阻及逼尿肌活动低下,发生率分别为32.4%(12/37)、21.6%(8/37)、16.2%(6/37)和10.8%(4/37),尿动力学表现呈多样化。患者电切术后最大尿流率、平均尿流率、最大膀胱容量及膀胱顺应性较术前增加,最大尿道闭合压力较术前降低,差异有统计学意义(P0.05);手术前后最大逼尿肌压力、最大尿流率时逼尿肌压力、功能性尿道长度比较,差异无统计学意义(P0.05)。结论女性膀胱白斑患者多数同时存在下尿路排尿功能障碍,尿动力学检查对患者手术前后下尿路功能的评估、手术疗效的判断、辅助治疗的应用具有指导意义。
[Abstract]:Objective to investigate the clinical value of urodynamic examination before and after electroresection of female patients with leukoplakia. Methods Thirty-seven female patients with bladder leukoplakia treated by transurethral resection from September 2014 to January 2016 were examined with urodynamics before operation and 3 ~ 6 months after operation. The changes of urodynamics before and after operation were observed. Results 30 patients had abnormal urodynamic examination before operation, accounting for 81.1% of all patients. The main manifestations were detrusor hyperactivity, bladder feeling enhancement, bladder outlet obstruction and detrusor hypoactivity. The incidence rates were 32.4% (12 / 37), 21.6% (8 / 37), 16.2% (6 / 37) and 10.8% (4 / 37), respectively. The maximal urinary flow rate, mean urinary flow rate, maximal bladder volume and bladder compliance were increased, and the maximal urethral closure pressure was decreased after electroresection (P0.05). There was no significant difference in detrusor pressure, detrusor pressure and functional urethral length before and after operation (P0.05). Conclusion most female patients with leukoplakia of bladder have lower urinary tract dysfunction at the same time. Urodynamic examination is helpful to evaluate the function of lower urinary tract before and after operation, to judge the curative effect of operation and to apply adjuvant therapy.
【作者单位】：江苏省常州市第三人民医院泌尿外科;
【分类号】：R699

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