摘要
目的 研究中青年慢性前列腺炎（CP）患者尿动力学变化,为临床诊治提供参考.方法 选择70例中青年CP患者,观察测量患者膀胱容量、膀胱稳定性和顺应性、逼尿肌压力、膀胱压力容积曲线等.结果 逼尿肌不稳定收缩20例（28.6％,20/70）,膀胱感觉敏感35例（50.0％,35/70）,逼尿肌收缩力降低46例（65.7％,46/70）.70例中青年CP患者的最大膀胱容量为100 ～ 497（380±80） ml,最大尿流率时逼尿肌压力为11.2～112.2（38.4±3.9） cm H2O（1 cm H2O=0.098 kPa）.患者均有不同程度腹压辅助排尿,最大尿流率下降程度为（10.53±1.92） ml/s.结论 尿动力学检查发现中青年CP患者尤其是经药物治疗无明显效果的患者,往往存在下尿路梗阻症状,目前尿动力学检查是诊断下尿路梗阻比较可靠的方法,对诊断有着重要的参考价值和临床指导意义.
Objective To study the urodynamic change of young and middle-aged patients with chronic prostatitis,and provide reference for clinical diagnosis and treatment.Methods Seventy young and middle-aged patients with chronic prostatitis were selected,the bladder capacity,bladder stability,bladder compliance,detrusor pressure and bladder pressure volume curve etc were measured.Results Unstable of detrusor contraction of 20 cases （28.6％,20/70）,bladder sensitivity of 35 cases （50.0％,35/70）,detrusor underactivity of 46 cases （65.7％,46/70）.In 70 young and middle-aged patients with chronic prostatitis,the maximum bladder capacity was 100-497 （380 ± 80） ml,the detrusor pressure at maximum flow rate was 11.2-112.2 （38.4 ± 3.9） cm H2O （1 cm H2O =0.098 kPa）,the drop of maximum flow rate was （10.53 ± 1.92） ml/s.Conclusions Through the urodynamic examination,the lower urinary tract obstruction syndrome can be found in young and middle-aged patients with chronic prostatitis,especially who have no significantly improvement after drug therapy.Now,the urodynamic examination for the lower urinary tract obstruction is a credible way to diagnosis,which plays an important role in diagnosis of chronic prostatitis and is useful for clinical practice.
出处
《中国医师进修杂志》
2013年第26期1-3,共3页
Chinese Journal of Postgraduates of Medicine
基金
新疆维吾尔自治区高技术研究发展项目基金（201110108）
关键词
前列腺炎
尿动力学
中青年
下尿路梗阻
Prostatitis
Urodynamics
Young and middle-aged
Lower urinary tract obstruction
