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为比较两种术式术后尿动力学改善的差异 ,将 2 6例Madigan手术与随机抽取的同期 35例经膀胱前列腺切除术术后进行尿动力学比较 ,术后拔尿管后 1周进行第 1次尿动力学检查 ,术后 4～ 6个月进行第 2次检查 .结果 :(1)初次尿意容量 (FD) :第 1次检查两组间有显著性差异 ,Madigan组大于经膀胱组 (P <0 0 1) ;第 2次检查两组间无显著性差异 (P >0 0 5) .(2 )逼尿肌不稳定 (DI)发生率 :第 1次检查两组间有显著性差异 ,Madigan组低于经膀胱组 (P <0 0 1) ;第 2次检查两组无显著性差异(P >0 0 5) .(3)急迫性尿失禁发生率 :第 1次检查两组间有显著性差异 (P <0 0 5) ,第 2次检查无显著性差异 (P >0 0 5) .结果表明 :逼尿肌不稳定是引起BPH术后患者临床症状的主要因素之一 ,Madi gan手术由于保持了膀胱颈及后尿道的完整性 ,其逼尿肌不稳定发生率低 ,有利于患者术后临床症状迅速改善 .
To compare the differences in postoperative urodynamic improvement between the two procedures, 26 patients undergoing Madigan surgery and 35 patients undergoing transurethral resection of the prostate were enrolled in a randomized urodynamic study. Postoperative catheterization was performed 1 week after catheterization The first urodynamic examination and the second examination 4-6 months after the operation were performed.Results: (1) The initial urinary volume (FD): The first examination showed significant difference between the two groups, and the Madigan group was larger than the bladder (P <0.01). There was no significant difference between the two groups in the second examination (P> 0.05). (2) The incidence of detrusor instability (DI) There was no significant difference between the two groups (P> 0.05). (3) The incidence of urge incontinence: the first time There was significant difference between the two groups (P <0 05), but there was no significant difference between the two groups (P 0 05) .The results showed that detrusor instability was the main cause of clinical symptoms in patients with BPH One of the factors, Madi gan surgery because of maintaining the integrity of the bladder neck and posterior urethra, the incidence of detrusor instability, is conducive to patients with rapid improvement of clinical symptoms.