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目的探讨经耻骨上膀胱穿刺尿动力学检查在前列腺增生(benign prostate hyperpla-sia,BPH)患者中应用的意义。方法36例BPH患者因不能经尿道插管或不能耐受疼痛接受该检查。采用16#胸穿针于耻骨上穿刺入膀胱并置入硬膜外麻醉用导管,测定膀胱压,行压力-流率测定并观察膀胱顺应性、逼尿肌稳定性等指标。结果36例患者全部完成检查。无一例出现感染、血肿或尿外渗。结论经耻骨上膀胱穿刺尿动力学检查适用于不能经尿道置管的BPH患者,可减少检查带来的痛苦并排除测压管对检查结果的影响。
Objective To investigate the significance of suprapubic urinary bladder biopsy in patients with benign prostatic hyperplasia (BPH). Methods Thirty-six patients with BPH underwent urethral intubation or intolerance for pain. A 16 # thoracentesis needle was used to puncture the suprapubic bladder and placed in a catheter for epidural anesthesia. The bladder pressure was measured and the pressure-flow rate was measured. Observe the bladder compliance and detrusor stability. Results All 36 patients completed the examination. No case of infection, hematoma or urine extravasation. Conclusion The suprapubic bladder puncture urodynamic examination is suitable for BPH patients who can not be transurethral catheterization, which can reduce the pain caused by the examination and exclude the impact of the piezometer tube on the examination results.