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目的 研究尿流动力学检查在前列腺增生手术适应症中的应用。方法 对 5 2例前列腺增生患者进行术前、术后尿动力学研究。结果 5 2例患者中 46例测出程度不等的膀胱出口部梗阻 ,膀胱出口部梗阻常与其它动力学异常同时存在 ,外科手术可解除膀胱出口部梗阻 ,合并的逼尿肌不稳定 ,逼尿肌 -外括约肌协同失调术后大多可消失 ,但逼尿肌收缩无力术后恢复较差。结论 尿流动力学检查可提供前列腺增生患者膀胱—尿道功能状况 ,为治疗方案设计、手术时机选择以及术后效果评估提供量化参数。
Objective To study the application of urodynamics in the indications of benign prostatic hyperplasia. Methods 52 cases of benign prostatic hyperplasia patients were preoperative and postoperative urodynamic study. RESULTS: Out of 52 patients, 46 had varying degrees of bladder outlet obstruction. Bladder outlet obstruction was often associated with other kinetic abnormalities. Surgery relieved bladder outlet obstruction. Combined detrusor instability forced Urinary muscle - external sphincter symptons mostly disappear after surgery, but poor detrusor contraction after surgery recovery is poor. Conclusion Urodynamics can provide bladder - urethral function in patients with benign prostatic hyperplasia, and provide quantitative parameters for the design of treatment plan, the timing of operation and the evaluation of postoperative effects.