论文部分内容阅读
目的 探讨尿动力学检查在糖尿病患者膀胱功能障碍诊断中的意义。 方法 伴有下尿路症状(LUTS)的糖尿病患者42例,年龄38~78岁,男24例,女18例。糖尿病发病1个月~25年。 结果 42例患者完成尿动力学全项检查41例,尿动力学表现异常者38例(93% ),尿动力学表现正常3例(7% );膀胱逼尿肌收缩减低14例(34% );膀胱逼尿肌反射消失10例(24% );膀胱出口梗阻13例(32%, 13 /41);女性压力性尿失禁1例。 结论 伴有LUTS的糖尿病患者膀胱功能异常发生率高,尿动力学检查可以明确膀胱逼尿肌功能,对合并糖尿病的LUTS患者正确诊断和治疗具有重要意义,糖尿病患者行膀胱尿道手术前进行尿动力学检查可提高手术成功率。
Objective To investigate the significance of urodynamic examination in the diagnosis of bladder dysfunction in diabetic patients. Methods Forty-two diabetic patients with lower urinary tract symptoms (LUTS), aged 38-78 years, 24 males and 18 females. Diabetes 1 month ~ 25 years. Results Thirty-one patients (38%) had normal urodynamic manifestations, 3 (7%) had normal urodynamic manifestations, and 14 patients (34% ); Detrusor reflex disappeared in 10 cases (24%); bladder outlet obstruction in 13 cases (32%, 13/41); female stress urinary incontinence in 1 case. Conclusions The incidence of bladder dysfunction in diabetic patients with LUTS is high. Urodynamic examination can clarify the detrusor function of the bladder. It is of great significance for the correct diagnosis and treatment of LUTS patients with diabetes mellitus. School examination can improve the success rate of surgery.