發(fā)布時(shí)間：2018-04-10 19:20

  本文選題：良性前列腺增生 + 逼尿肌收縮力　； 參考：《新疆醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的探討逼尿肌收縮壓測(cè)定在BPH患者術(shù)后尿動(dòng)力學(xué)的療效評(píng)估中的應(yīng)用價(jià)值。方法BPH患者58例。年齡62-82歲,平均69歲。均行尿動(dòng)力學(xué)檢查,明確診斷BOO,排除神經(jīng)、內(nèi)分泌以及其他系統(tǒng)疾病因素。根據(jù)逼尿肌收縮情況分為2組：I組為逼尿肌正常及增高型33例,逼尿肌收縮壓≥40cm H2O,單純行TURP或開(kāi)放手術(shù)；I1組為逼尿肌減低型25例,逼尿肌收縮壓≤25cm H20,同期行TURP和膀胱造瘺術(shù),術(shù)后持續(xù)開(kāi)放造瘺管至少2周。統(tǒng)計(jì)學(xué)比較2組患者術(shù)后1,3個(gè)月逼尿肌收縮壓、Qmax和殘余尿等參數(shù)。結(jié)果2組患者術(shù)前最大逼尿肌收縮壓分別為(75.55±28.66),(19.52±4.99)cmH2O,Qamx分別為(6.76±2.15),(3.12±1.23)ml/s,組間差異均有統(tǒng)計(jì)學(xué)意義(P0.05)；術(shù)后1月Qmax分別(15.244±2.48),(13.40±2.44)ml/s,組間有差異統(tǒng)計(jì)學(xué)意義(P0.05)；術(shù)后3月Qmax分別為(15.45±1.93),(14.84±1.59)ml/s,組間差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論BPH患者BOO解除后,收縮乏力狀況可以逐漸恢復(fù),Qmax及殘余尿均能能獲得改善,對(duì)合并逼尿肌收縮無(wú)力患者積極手術(shù)解除梗阻,可促進(jìn)逼尿肌功能恢復(fù),尿動(dòng)力學(xué)對(duì)于手術(shù)前的評(píng)價(jià)及手術(shù)后的恢復(fù)具有指導(dǎo)的意義。
[Abstract]:Objective to evaluate the value of detrusor systolic blood pressure (detrusor) in the evaluation of postoperative urodynamics in patients with BPH.Methods 58 patients with BPH were treated.The average age was 69 years.All patients underwent urodynamic examination to diagnose BOO and exclude neuroendocrine and other systemic diseases.According to the contractile condition of detrusor, 33 cases of normal and elevated detrusor, 25 cases of detrusor detrusor were divided into two groups according to detrusor contraction. The systolic pressure of detrusor was 鈮，

本文編號(hào)：1732559