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糖尿病神经性膀胱是糖尿病神经病变并发症中的一种表现,又称糖尿膀胱病(diabeticcystopathy)。我院1990年～1995年收治糖尿病人62例,其中14例并发糖尿病膀胱病,现报告如下。 1.临床资料 一般资料:14例中男11例,女3例,年龄8～72岁,平均62.5岁,糖尿病病程3～18年,其中显性糖尿病12例,隐性糖尿病2例。临床表现:尿线无力、尿意弱4例,间断性排尿或滴尿6例,排尿次数减少5例,尿潴留6例,尿失禁2例。患者除上述临床表现外,同时伴有尿频、尿急、尿痛4例(28.5％)。14例中12例检查空腹血糖为8.5～15.9mmol/L;2例空腹血糖正常,但糖耐量异常,14例患者均行双肾、输尿管、膀胱B超及腹部平片,均正常;男性病人加做前列腺B超及前列腺液常规检查,排除前列腺病变。尿常规除4例伴有尿频、尿急、尿痛者BLO+～+++、LEU+～++++、PRO±～+,余大致正常。
Diabetic neuropathic bladder is a manifestation of the complication of diabetic neuropathy, also known as diabetic cystopathy. Our hospital from 1990 to 1995 admitted 62 cases of diabetic patients, of which 14 cases of diabetic bladder disease, are as follows. 1. Clinical data General information: 14 cases of 11 males and 3 females, aged 8 to 72 years, mean 62.5 years, duration of diabetes 3 to 18 years, of which 12 cases of dominant diabetes, 2 cases of latent diabetes. Clinical manifestations: weakness of the urinary bladder, urinary weakness in 4 cases, intermittent urination or droppings in 6 cases, urination decreased in 5 cases, urinary retention in 6 cases, urinary incontinence in 2 cases. Patients in addition to the above clinical manifestations, accompanied by frequent urination, urgency, dysuria in 4 cases (28.5%). Fasting blood glucose was 8.5 ~ 15.9mmol / L in 12 of 14 cases. Normal fasting blood glucose was found in 2 cases but impaired glucose tolerance. All 14 patients underwent kidney, ureter, B - Plus do prostate B and prostatic fluid routine examination, rule out prostate disease. In addition to 4 cases of urinary routine associated with urinary frequency, urgency, dysuria BLO + ~ + + +, LEU + ~ +++ +, PRO ± ~ +, I was roughly normal.