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目的评价尿流动力学检查在前列腺增生症(BPH)患者手术适应证中的意义。方法对800例BPH患者术前进行尿流动力学检测;根据检测结果选择不同方法进行治疗,其中经尿道前列腺电切(TURP)680例,药物保守治疗45例,原发病治疗75例。结果 800例中有680例存在膀胱出口梗阻,45例逼尿肌有力,可疑梗阻或无梗阻,75例逼尿肌收缩无力,膀胱顺应性增高。680例患者行TURP术后3个月复查均取得满意疗效。结论 BPH患者术前尿流动力学检测可以明确膀胱出口有无梗阻、逼尿肌顺应性和收缩功能,这对于合理选择治疗方式提高疗效具有重要的临床意义。
Objective To evaluate the significance of urodynamic tests in surgical indications for patients with benign prostatic hyperplasia (BPH). Methods Eight hundred and eighty BPH patients underwent preoperative urodynamics. According to the results of the test, different methods were selected for treatment, including 680 cases of TURP, 45 cases of drug conservative treatment and 75 cases of primary disease. Results Of the 800 cases, there were 680 cases of bladder outlet obstruction, 45 cases of detrusor potent, suspicious obstruction or obstruction, 75 cases of detrusor contraction weakness, increased bladder compliance. 680 patients underwent TURP 3 months after the review have achieved satisfactory results. Conclusions The preoperative urodynamic study of BPH patients can confirm whether the outlet of the bladder is obstructive, detrusor compliance and systolic function, which has important clinical significance for the rational choice of treatment to improve the curative effect.