论文部分内容阅读
目的 探讨女性下尿路症状原因及临床意义。 方法 72例下尿路症状女性患者 ,年龄 8～ 86岁 ,平均 4 8岁。其中排尿困难 4 6例 ,尿失禁 14例 ,尿频 10例 ,夜间遗尿 2例。患者均行尿动力学检测。 结果 4 6例排尿困难者膀胱容量 6 0～ 80 0ml,其中 2 0例膀胱逼尿肌收缩力为 0 ,2 6例9～ 16 0cmH2 O(1cmH2 O =0 .0 98kPa)。Linp URR图示为Ⅲ级以上梗阻者 19例。尿道静态分布阻力2 5～ 130cmH2 O。膀胱逼尿肌与尿道外括约肌协调性良好者 5例 ,协同失调者 33例。 10例尿频患者膀胱容量 97～ 4 5 0ml,2例排尿期膀胱逼尿肌收缩力为 0 ,8例 31～ 110cmH2 O。Linp URR图示显示Ⅲ级以上梗阻者 2例。 1例急迫性尿失禁者膀胱过度敏感。 6例压力性尿失禁者腹压漏尿点压力 4 4～76cmH2 O。 3例充盈性尿失禁者排尿期膀胱逼尿肌压力为 0 ,尿道静态分布阻力 32～ 4 2cmH2 O。真性尿失禁 4例尿道外括约肌压力 0～ 16cmH2 O ,平均 (8.5± 5 .7)cmH2 O。 2例遗尿患者存在不稳定性膀胱表现 ,排尿期膀胱收缩乏力。 结论 尿动力学检查对女性下尿路症状疾病诊断、治疗、预后判断具有重要指导意义。
Objective To investigate the causes of lower urinary tract symptoms in women and its clinical significance. Methods 72 cases of lower urinary tract symptoms of female patients, aged 8 to 86 years, mean 48 years. Including 46 cases of dysuria, urinary incontinence in 14 cases, frequent urination in 10 cases, nocturnal enuresis in 2 cases. Patients underwent urodynamic testing. Results The urinary bladder volume was 60 ~ 80 0ml in 46 patients with dysuria, of which 20 cases had detrusor contractility of 0 and 26 cases of 9 ~ 160cmH 2 O (1cmH 2 O = 0.098kPa). Linp URR is shown as grade III or more in 19 cases. Urethra static distribution of resistance 2 5 ~ 130cmH2O. 5 cases of bladder detrusor and urethral sphincter good coordination, 33 cases of coordination disorders. The urinary bladder volume of 10 patients with urinary frequency ranged from 97 to 450ml. The urinary bladder detrusor contractility was 0 in 2 cases and 31 ~ 110cmH2O in 8 cases. The Linp URR image shows 2 patients with grade III or more obstruction. One case of urge urinary incontinence was overactive bladder. Six patients with stress urinary incontinence abdominal pressure leak urine pressure 4 4 ~ 76cmH2O. Three cases of urinary incontinence urinary bladder detrusor pressure was 0, urethra static distribution of resistance 32 ~ 4 2cmH2O. True urinary incontinence 4 cases of external urethral sphincter pressure 0 ~ 16cmH2O, with an average (8.5 ± 5 .7) cmH2O. 2 cases of enuresis patients with unstable bladder manifestations, bladder voiding voiding fatigue. Conclusion Urodynamic examination has important guiding significance for the diagnosis, treatment and prognosis of female lower urinary tract symptoms and diseases.