尿动力学检查在指导防治 TURP 术后膀胱颈挛缩致上尿路功能损害中的作用

摘要

To-expl-ore-the-applied-value-of-urodynamic-test-for-preventi-on-and-treat-ment-of-upper-uri-nary-damage-in-patients-with-bladder-neck-contracture-.Methods-:Twenty-seven-patients-(group-A)subj-ect-to-urody-na-mic-test-and-44-patients-(group-B-)not-subj-ect-to-urodynamic-test-were-set-up-.The-para-meters-fro-m-urodynamics-,-renal-functi-onal-test-and-col-or-ultrasonography-test-in-group-A-and-group-B-were-co-mpared-and-anal-yzed-.Results-:Si-g-nificant-difference-was-found-in-Q-max-but-not-in-age-and-postoperati-ve-time-between-two-groups-.The-upper-urinary-damage-rate-in-group-A-was-si-gnificantly-lower-than-in-group-B-.Conclusions-:Urodynamic-test-is-hel-pful-to-find-the-upper-urinary-damage-in-patients-with-bladder-neck-contracture-as-soon-as-possible.%目的：探讨尿动力学检查在指导防治前列腺增生症(BP H )患者术后膀胱颈挛缩(BNC )导致的上尿路损害中的作用。方法：回顾性分析既往收治的71例膀胱颈挛缩患者的资料,根据患者入院前2年内是否接受过尿动力学检查,分为 A 组(27例,接受过尿动力学检查组)和 B 组(44例,未接受过尿动力学检查组)。对比分析两组患者的基本资料和入院时泌尿系超声和肾功能检查结果。结果：A 组患者年龄、前列腺增生症术后时间与B 组患者相比无显著差别。此次入院时,A 组患者自由尿流率检查 Q max 显著高于 B 组,A 组患者上尿路损害的发生率显著低于 B 组。结论：前列腺增生症患者(特别是小体积 BP H 患者)术后尿动力学检查可帮助患者和泌尿外科医师更早发现膀胱颈挛缩的存在,这有助于患者更早、更多可能接受包括药物、尿道扩张术等方面的治疗,从而有利于降低膀胱颈挛缩所致上尿路功能损害的发生率。