慢性非细菌性前列腺炎患者的尿动力学表现及意义.docVIP

精品论文 参考文献 慢性非细菌性前列腺炎患者的尿动力学表现及意义 林忠应 郭石磊 吴周源 叶烈夫 陈从其 郑元振 胡力仁 林云侨 杨泽松 (福建医科大学教学医院宁德市医院泌尿外科 350000） 【中图分类号】R697【文献标识码】A【文章编号】1672-5085（2011）45-0085-03 【摘要】 目的 探讨慢性非细菌性前列腺炎的尿动力学表现。方法 采用莱博瑞尿动力检测仪对200例诊断为III型慢性非细菌性前列腺炎患者进行压力―流率测定、尿流率、充盈性膀胱测压、尿道测压及肌电图检查。结果 膀胱出口梗阻92例（46%），不稳定性膀胱66例（33%），逼尿肌尿道括约肌协同失调56例（28%），低顺应性膀胱例23例（11.5%），其中不稳定膀胱合并膀胱出口梗阻27例，不稳定膀胱合并逼尿肌尿道外括约肌协同失调19例，低顺应性膀胱合并膀胱出口梗阻17例。结论 慢性非细菌性前列腺炎患者的尿动力学表现依次为膀胱??口梗阻、不稳定性膀胱、逼尿肌尿道外括约肌协同失调及低顺应性膀胱，考虑患者尿频症状与上述改变有关，建议对治疗效果差的慢性非细菌性前列腺炎患者行尿动力学检查，可达到对症治疗提高治疗效果。 【关键词】 慢性前列腺炎 尿动力学 Urodynamic Study in Patients with type III Chronic Prostatitis 【Abstract】 Objective：To explore symptom of type III chronic prostatitis urodynamic with Urine dynamics check. Methods：200 patients with type III chronic prostatitis were measured the pressure - flow rate, urine flow rate, engorged bladder lateral pressure, lateral pressure of urinary tract by using the HaiLaborie urodynamic radiomete and underwent electromyogram examination . Result: Bladder outlet obstruction occurred in 92 cases (46%), unstable bladder occurred in 66 cases(33%), dyssynergia in detrusor muscle and external urethral sphincter occurred in 56 cases (28%), low compliance bladder occurred in 23 cases (11.5%) , unstable bladder with obstruction in the bladder outlet occurred in 27 cases, unstable bladder with dyssynergia in detrusor muscle and external urethral sphincter occurred in 19 cases, low compliance bladder with obstruction in the bladder outlet occurred in 17 cases. Conclusion : The symptom of Lower urinary tract in patients with type III of chronic prostatitis was related to the obstruction in the bladder outlet, unstable bladder, low compliance bladder and dyssynergia in detrusor muscle and external urethral sphincter , suggestions for the III type of chronic prostatitis patients do this examine to improve the curative effect. 【Key words】Chronic prostatitis Urodynamic 慢性非细菌性前列腺炎是中青年男性泌尿生殖系统的常见病和多发病，约占泌尿外科门诊病人的8%［1］，病人常用尿频、尿急、尿痛、尿道灼热感等主诉症状。目前对其发病机制