女性糖尿病性膀胱患者的尿流动力学改变

目的：探讨尿流动力学检查对女性糖尿病性膀胱病的临床价值。方法根据糖尿病病程，将56例女性糖尿病膀胱患者分为＜15年组（31例）和≥15年组（25例），采用Encore 5.7尿流动力学检查仪，行四道程尿流动力学检查，并根据检查结果进行分析。结果＜15年组患者的平均剩余尿量（35±16）ml，平均初感尿意容量（220±76）ml，平均最大膀胱容量（380±92）ml，逼尿肌反射亢进15例，低顺应性膀胱3例，高顺应性膀胱14例；≥15年组患者的平均剩余尿量（65±24） ml，平均初感尿意量（330±88）ml，平均最大膀胱容量（580±122） ml，逼尿肌反射亢进6例，低顺应性膀胱16例，高顺应性膀胱6例。两组平均剩余尿量、平均初感尿意容量、平均最大膀胱容量及低顺应性膀胱比率比较，差异均有统计学意义（t值分别为5.36、4.94、6.79和11.90，均P＜0.01）。结论尿流动力学检查提示糖尿病性膀胱功能损害程度，为糖尿病性膀胱病程诊断和治疗提供客观依据。

Changes of urodynamics in female patients with diabetic cystopathy

Objective To evaluate the changes of urodynamics in female patients with diabetic cystopathy.Methods Fifty six female patients with diabetic cystopathy were enrolled in the study , including 31 cases with diabetic course ＆lt;15 years （ groupⅠ） and 25 cases with diabetic course ≥15 years （ group Ⅱ） .Urodynamic examination was performed in all patients and the urodynamic parameters were compared between two groups.Results The average residual urine volume , the volume of first bladder sensation and the max bladder capacity in groups ⅠandⅡwere （35 ±16）ml and （65 ±24） ml,（220 ± 76）ml and （330 ±88） ml, （380 ±92） ml and （580 ±122） ml, respectively; 3 out 31 and 16 out of 25 patients in groups Ⅰ and Ⅱ showed low compliance .The above indexes between two groups were statistically significant （ P〈0.01）.Conclusion Urodynamics can indicate the severity of functional damage of urinary bladder in patients with diabetic cystopathy .