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目的:探讨良性前列腺增生症(BPH)致逼尿肌收缩力弱的综合治疗措施及其疗效。方法:对79例BPH致膀胱逼尿肌收缩力低下患者进行手术、药物、物理治疗,将治疗前后患者的最大尿流率(Qmax),剩余尿量(PVR),膀胱逼尿肌压力(Pdet)进行统计学分析。结果:患者的Qmax较术前均有明显改善,剩余尿量(PVR)明显减少,膀胱逼尿肌压力Pdet明显增加(P均小于0.01)。结论:及时解除膀胱出口梗阻,选择有效的综合治疗方法能有效地防止膀胱出口梗阻对逼尿肌收缩功能的进一步损害,并使逼尿肌收缩能力有所恢复。
Objective: To investigate the comprehensive treatment of benign prostatic hyperplasia (BPH) induced detrusor contractility and its curative effect. Methods: A total of 79 patients with bladder detrusor contractility who underwent BPH were treated by surgery, medication and physical therapy. The Qmax, PVR, Pdet ) For statistical analysis. Results: The Qmax of patients were significantly improved compared with those before operation. The residual urine volume (PVR) decreased significantly and the detrusor pressure Pdet significantly increased (P <0.01). Conclusion: The timely removal of bladder outlet obstruction, choose an effective comprehensive treatment can effectively prevent the bladder outlet obstruction of detrusor contractile function further damage, and to detrusor contraction capacity recovered.