| BPH患者尿动力学检查结果及其在指导治疗中的作用 |
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| 引用本文： | 彭云鹏,陈仁富,朱海涛,孙晓磊.BPH患者尿动力学检查结果及其在指导治疗中的作用[J].中国现代医药杂志,2011,13(1):41-43. |
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| 作者姓名： | 彭云鹏 陈仁富 朱海涛 孙晓磊 |
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| 作者单位： | 1. 江苏省徐州医学院,221002
2. 徐州医学院附属医院泌尿外科 |
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| 摘 要： | 目的观察良性前列腺增生症(BPH)患者尿流动力学相关参数,并评价尿流动力学检查结果对指导BPH治疗的价值。方法对119例BPH患者,治疗前后分别进行尿流动力学检查、国际前列腺症状评分(IPSS)和生活质量评估(QOL)并分析检查结果。结果 119例患者中有4例可疑梗阻,3例无梗阻,7例逼尿肌收缩乏力,105例膀胱出口梗阻(BOO)。BOO患者中伴不稳定膀胱41例(39.05%),低顺应性膀胱19例(18.10%),不稳定膀胱合并低顺应性膀胱16例(15.24%)。根据测定结果选用不同方法治疗,其中行经尿道前列腺电切术(TURP)103例,行耻骨上经膀胱前列腺摘除术2例,膀胱造瘘术7例,保守治疗7例。治疗后4～6个月复查,比治疗前症状明显改善,取得满意疗效。结论尿流动力学检查可以明确BPH患者有无BOO及梗阻程度如何,又可了解膀胱功能和逼尿肌稳定性,为临床鉴别诊断、选择合理的治疗方案和估计预后提供依据,对提高疗效具有重要的临床意义。
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| 关 键 词： | 良性前列腺增生 膀胱出口梗阻 尿动力学 经尿道前列腺电切术 |
Urodynamic manifestation of 119 patients with BPH and it's therapeutic guiding value |
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| Peng Yunpeng,Chen Renfu,Zhu Haitao,et al..Urodynamic manifestation of 119 patients with BPH and it's therapeutic guiding value[J].Modern Medicine Journal of China,2011,13(1):41-43. |
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| Authors: | Peng Yunpeng Chen Renfu Zhu Haitao |
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| Institution: | Peng Yunpeng,Chen Renfu,Zhu Haitao,et al.Department of urology,Affiliated Hospital of Xuzhou Medical College,Xuzhou 221002 |
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| Abstract: | Objective To study the parameters of urodynamic tests for patients with benign prostatic hyperplasia(BPH) and appraise their guiding value in the treatment for the disease.Methods The urodynamics tests were performed on 119 patients with BPH before and after treatment.Also,the international prostate symptom score(IPSS) and quality of life assessment(QOL) were recorded and analysed.Results For 119 patients consisted of 105 cases with bladder outlet obstruction,4 cases of suspected obstruction,3 cases without... |
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| Keywords: | Benign prostatic hyperplasia Bladder outlet obstruction Urodynamics Transurethral resection of prostate |
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