尿流动力学检查在男性下尿路症状诊治中的临床应用

目的 评价尿流动力学检查在男性下尿路症状（LUTS）临床诊治中的作用.方法 采用Laborie尿流动力学分析仪对385例合并下尿路症状的男性患者进行检查,检测其各项尿流动力学指标,参考国际尿控学会（ICS）标准判断其膀胱尿道功能并进行分型,并根据其分型进行针对性治疗.结果 尿流动力学检查结果发现,385例男性LUTS患者中,膀胱出口梗阻（BOO） 283例,其中合并膀胱过度活动（OAB） 96例,合并逼尿肌无力38例;单纯OAB 64例;神经原性膀胱25例,尿流动力学检查正常13例.根据其尿流动力学检查结果分别进行治疗,有效率93％,疗效满意.结论 尿流动力学检查对于男性LUTS患者的诊断、治疗具有重要意义.

Clinical value of urodynamics examination in diagnosis and treatment of male lower urinary tract symptoms

Objective To evaluate the clinical value of urodynamics examination in diagnosis and treatment of lower urinary tract symptoms （LUTS） in male patients. Methods Laborie urodynamics analysater was applied for the examination of 385 male patients with LUTS and the examination indexes were collected at the same time. The function of bladder and urethra was assessed and grouped according to the definition of international continence society （ICS）. The specific treatment was taken according to the grouping. Results The urodynamics examination revealed that there were 283 cases of bladder outlet obstruction （BOO） in 385 male patients with LUTS, including 96 cases of overactive bladder （OAB）, 38 cases of detrusor muscle asthenia; there were 64 cases of simple OAB, 25 cases of neurogenic bladder, 13 normal persons. The treatment was taken according to the urodynamics examination result, with the efficiency of 93%. Conclusion The urodynamics examination has great value in diagnosis and treatment for male patients with LUTS.