糖尿病膀胱病变合并良性前列腺增生症尿动力学检查的临床价值

目的通过对糖尿病膀胱病变合并良性前列腺增生症（BPH）患者尿动力学检查及分析，做出合理的治疗与处理。方法60例已确诊为糖尿病膀胱病变合并BPH患者，其中糖尿病病程〉12年、血糖控制不理想32例（试验组），糖尿病病程≤8年、血糖控制基本平稳28例（对照组），采用莱博瑞UDS．120XLT型尿动力学检查仪，对两组患者进行尿动力学检查和国际前列腺症状评分（IPSS），并根据检查结果进行对比分析。结果试验组和对照组残余尿量比较差异无统计学意义（146±71）ml比（160±64）ml，P〉0．05]。而试验组最大尿流率明显低于对照组（5．4±2．0）ml／s比（8．0±3．2）ml／s]，IPSS的症状总分明显高于对照组（25．8±4．1）分比（22．6±5．0）分]，差异有统计学意义（P〈0．01）。试验组最大膀胱容量、顺应性、初始尿意容量均低于对照组，差异有统计学意义（P〈0．01）。结论糖尿病膀胱病变加重了BPH患者的膀胱功能障碍，尿动力学检查对糖尿病膀胱病变合并BPH患者的治疗方法及手术方式选择提供客观依据，具有重要的临床价值。

Clinical significance of urodynamic detection in patients with diabetic cystopathy complicated with benign prostatic hyperplasia

Objective To obtain reasonable treatment by urodynamic detection and analysis in patients with diabetic cystopathy （DCP） complicated with benign prostatic hyperplasia （BPH）. Methods Sixty patients with DCP complicated with BPH were selected,among the total 32 patients （duration of diabetes 〉 12 years, blood glucose control was not ideal） were recognized as experimental group,and 28 patients （duration of diabetes ≤ 8 years, blood glucose control was stable） were recognized as control group. Using the Laborie UDS-120XLT urodynamic detection instrument,the urodynamic was detected and the international prostate symptom score （IPSS） was evaluate,and the results were compared between the 2 groups. Results There was no statistical difference in residual urine volume between experimental group and control group （146 ± 71 ） ml vs. （160 ± 64） ml,P 〉 0.05]. The maximum urinary flow-rate in experimental group was significantly lower than that in control group （5.4 ± 2.0） ml/s vs. （8.0 ± 3.2） ml/s ], the symptom total score of IPSS was significantly higher than that in control group （25.8 ± 4.1 ） scores vs. （22.6±5.0） scores],there were statistical differences （P 〈0.01）. The maximum bladder capacity, compliance, incipient micturition desire volume in experimental group were significantly lower than those in control group, there were statistical differences （P 〈 0.01 ）. Conclusions The influence of DCP on the function of the bladder in BPH patients is significant. Urodynamic detection can provide objective basis forthe selection of therapeutic methods, suitable to be operated and forecast the postoperative effect. It has an important reference value in DCP complicated with BPH patients.