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前列腺增生术后效果不满意的尿流动力学分析
引用本文:邵绍丰,陈纪海,刘耀.前列腺增生术后效果不满意的尿流动力学分析[J].中国基层医药,2008,15(12).
作者姓名:邵绍丰  陈纪海  刘耀
作者单位:温州医学院温州市中西医结合医院泌尿外科,浙江省温州,325000
摘    要:目的 探讨尿流动力学检查鉴别前列腺增生术后效果不满意原因的意义.方法 对42例前列腺增生术后效果不满意的患者,按症状不同可分为排尿困难组32例和尿失禁组10例.对两组分别行尿流动力学检查,分析其结果.结果 32例排尿困难组中,逼尿肌收缩乏力8例,膀胱出口梗阻24例;10例尿失禁组中,急迫性尿失禁6例,压力性尿失禁4例.结论 前列腺增生术后效果不满意的原因以梗阻和逼尿肌功能损害为主,尿流动力学检查对前列腺增生术后效果不满意的原因分析和进一步治疗具有指导意义.

关 键 词:前列腺增生  尿流动力学  手术

Urodynamic analysis for the causes leading to dissatisfying result after operation therapy for BPH
SHAO Shao-feng,CHEN Ji-hai,LIU Yao.Urodynamic analysis for the causes leading to dissatisfying result after operation therapy for BPH[J].Chinese Journal of Primary Medicine and Pharmacy,2008,15(12).
Authors:SHAO Shao-feng  CHEN Ji-hai  LIU Yao
Abstract:Objective To discuss the causes leading to dissatisfying result after operation therapy for BPH.Methods 42 patients who had not acquired satisfying result after operation therapy for BPH were underwent the urodynamic examination.Results 42 patients were classified into two groups according to their different symptoms:difficuhy to void,32 case8,including 8 cases with low contractifity of detrusor,and 24 cases with Madder outflow obstruction(BOO);incontinence,10 eases,including 6 cases of urgency incontinence and 4 cases of stress incontinence.Condusion We can see that the causes leading to dissatisfying resuh after operation for BPH are mainly the dysfunction of detmsor and BOO,and the result of urodynamic examine can guide us the causes and the next therapy.
Keywords:Benign prostate hyperplasia  Urodynamic  Operation
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