论文部分内容阅读
目的：确定下尿路梗阻及其梗阻部位。方法：对４１ 例有下尿路梗阻症状患者进行了排尿期尿道测压（ Ｍ Ｕ Ｐ Ｐ），其中包括前列腺增生症（ Ｂ Ｐ Ｈ）２９ 例，男性尿道狭窄 ３ 例，逼尿肌外括约肌协同失调 ３ 例，女性压力性尿失禁 ４ 例，女性尿道末端缩窄综合征１ 例，前列腺炎 １ 例。结果：２９ 例 Ｂ Ｐ Ｈ 患者中，２６ 例有梗阻，其中梗阻位于膀胱颈部 ２０ 例；３ 例逼尿肌外括约肌协同失调患者表现为外括约肌部压力下降；４ 例女性压力性尿失禁患者表现为尿道末端 １ ｃｍ 压力下降。结论：根据 Ｍ Ｕ Ｐ Ｐ图形，对下尿路有否梗阻及梗阻的部位可作出明确诊断。
Objective: To determine the lower urinary tract obstruction and obstruction site. Methods: Thirty-one patients with symptoms of lower urinary tract obstruction underwent urinary urethral pressure (MUPP), including 29 cases of benign prostatic hyperplasia (BPH), 3 cases of male urethral stricture, detrusor outside 3 cases of sphincter imbalance, 4 cases of female stress urinary incontinence, 1 case of urethral terminal narrowing syndrome and 1 case of prostatitis. Results: Of the 29 patients with B P H, obstruction was found in 26 patients and obstruction was located in 20 patients with bladder neck. Three patients with detrusor and external sphincter deformity showed decreased pressure in the external sphincter and 4 female stress urinary incontinence Patients showed a pressure drop of 1 cm at the end of the urethra. CONCLUSIONS: Based on the MAP, it is possible to make a definitive diagnosis of obstruction and obstruction of the lower urinary tract.