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目的:研究难治性男性下尿路症状病因及尿动力学表现。方法:选择24例外院诊断为慢性前列腺炎经反复治疗效果不佳的患者行尿动力学检查。根据膀胱测压、压力-流率、盆底肌电图及尿道压进行诊断。结果:24例中完成检查22例,结果异常18例。顺应性下降并发逼尿肌过度活动1例,逼尿肌过度活动4例,膀胱感觉过敏2例,功能失调性排尿2例,膀胱出口梗阻6例,逼尿肌收缩力下降3例。结论:尿动力学对难治性男性下尿路症状的疾病诊断及治疗具有重要的指导意义。
Objective: To study the causes and urodynamic manifestations of lower urinary tract symptoms in refractory men. Methods: Twenty-four patients diagnosed as chronic prostatitis by repeated hospitalization were enrolled in this study. Based on bladder manometry, pressure - flow rate, pelvic floor electromyography and urethral pressure diagnosis. Results: Of the 24 cases, 22 cases were examined and 18 cases were abnormal. Concomitant decline in one case of detrusor overactivity, detrusor hyperactivity in 4 cases, bladder sensitization in 2 cases, dysfunctional urination in 2 cases, bladder outlet obstruction in 6 cases, detrusor contractility decreased in 3 cases. Conclusion: Urodynamic study is of great significance in the diagnosis and treatment of the lower urinary tract symptoms in refractory men.