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目的通过尿流动力学检测评估良性前列腺增生合并糖尿病患者的下尿路症状,探讨糖尿病对良性前列腺增生患者逼尿肌功能改变的影响。方法 80例良性前列腺增生患者,分成2组,36例为伴发糖尿病的良性前列腺增生患者(糖尿病组),44例为单纯良性前列腺增生患者(对照组),对比分析两组患者的尿流动力学结果。结果两组患者在膀胱初始尿意容量,膀胱最大容量,残余尿量,最大尿流率,最大尿流时逼尿肌压力,膀胱顺应性增高,逼尿肌不稳定及膀胱出口梗阻发生率等方面,差异均有统计学意义(P<0.05)。结论糖尿病加重了良性前列腺增生患者的膀胱功能障碍,尿动力学检查对于良性前列腺增生合并糖尿病患者是否行手术治疗及预测术后效果具有重要的临床参考价值。
Objective To evaluate the lower urinary tract symptoms in patients with benign prostatic hyperplasia (DM) with diabetes by urodynamic test and to explore the effect of diabetes on detrusor function in patients with benign prostatic hyperplasia (BPH). Methods Eighty patients with benign prostatic hyperplasia (BPH) were divided into two groups: 36 patients with benign prostatic hyperplasia (DM) and 44 patients with benign prostatic hyperplasia (DM). The urodynamics of both groups were compared result. Results The initial urinary bladder capacity, maximal bladder volume, residual urine volume, maximal uroflow rate, maximal urinary detrusor pressure, increased bladder compliance, detrusor instability and the incidence of bladder outlet obstruction , The differences were statistically significant (P <0.05). Conclusions Diabetes mellitus aggravates bladder dysfunction in patients with benign prostatic hyperplasia. Urodynamic study has important clinical value for patients with benign prostatic hyperplasia (DM) and benign prostatic hyperplasia (DM) with or without preoperative and postoperative effects.