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糖尿病患者伴发膀胱尿道功能异常在临床上甚为常见,但易忽略,亦偶见糖尿病患者因排尿障碍误诊为前列腺肥大而作手术的报告。此种异常可表现为排尿间隔时间延长、排尿困难、慢性尿潴留、残余尿增加及尿失禁等,严重者甚至可引起肾积水和慢性肾功能衰竭。糖尿病患者膀胱尿道功能异常的确切伴发率不详,因其预后不佳,故早期诊断和及时有效治疗极为重要。近年来,在泌尿科领域中尿流计的应用,常可为膀胱尿道功能异常疾患的诊断提供敏感的、无损伤性、可重复的客观指标。应用尿流动力学指标早期检出糖尿病性膀胱尿道功能异常在国内尚未见报告。本文旨在对糖尿病患者的膀胱尿道功能进行初步观察,以及血糖控制对改善膀胱尿道功能异常的作用。
Diabetic patients with bladder and urethral dysfunction is clinically common, but easy to overlook, but also occasionally diabetic patients due to dysuria misdiagnosed as benign prostatic hypertrophy and surgery report. Such abnormalities can be manifested as prolonged voiding interval, dysuria, chronic urinary retention, increased residual urine and urinary incontinence, severe cases can even cause hydronephrosis and chronic renal failure. The exact incidence of bladder and urinary tract dysfunction in patients with diabetes is unknown, because of its poor prognosis, so early diagnosis and timely and effective treatment is extremely important. In recent years, urinary flow in the field of urinary applications, often for the diagnosis of bladder and urinary tract dysfunction to provide sensitive, non-destructive, repeatable objective indicators. Application of urodynamic indicators early detection of diabetic bladder and urethral dysfunction in the country has not been reported. The purpose of this paper is to investigate the function of bladder and urethra in diabetic patients and the effect of glycemic control on the abnormal bladder and urinary tract.