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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:回顾性分析32例女性糖尿病膀胱病变患者的临床资料和尿动力学检查结果,明确尿动力学的特征性改变。结果:早期组最大尿流率、膀胱容量下降,逼尿肌压力增加,初始尿意、剩余尿量正常;晚期组最大尿流率、逼尿肌压力下降明显,初始尿意、剩余尿、膀胱容量显著增加。结论:女性伴有下尿路症状(LUTS)的糖尿病患者膀胱功能异常的发生率高,随着病程延长,膀胱功能改变明显。尿动力学检查可以明确膀胱功能,对合并糖尿病的LUTS患者的正确诊断和治疗具有重要的指导意义。
Objective: To investigate the significance of urodynamic examination in the diagnosis of bladder dysfunction in diabetic patients. Methods: A retrospective analysis of 32 patients with diabetic bladder disease in patients with clinical data and urodynamic examination results, a clear change in the characteristics of urodynamics. Results: In the early stage, the maximal urinary flow rate, bladder capacity decreased, detrusor pressure increased, initial urinary intention and residual urine volume were normal. The maximum urinary flow rate and detrusor pressure decreased significantly in the early stage, initial urinary intention, residual urine and bladder capacity were significant increase. Conclusion: The incidence of bladder dysfunction in diabetic patients with lower urinary tract symptoms (LUTS) is high. With the prolongation of the course, the bladder function changes obviously. Urodynamic examination can clarify the bladder function, and has important guiding significance for the correct diagnosis and treatment of LUTS patients with diabetes mellitus.