摘要
自１９８７年以来，尿动力学检查诊断为不稳定膀胱７４例，其中伴尿路梗阻并接受手术治疗５３例（７１．６％），解除梗阻后随访结果表明：术后６个月内不稳定膀胱消失占６８．９％，而１２个月内消失者仅稍有增加（７１．１％）；有剩余尿或尿潴留者术后６个月恢复率分别为６１．５％和７８．９％；＞６０岁和＜６０岁者的术后恢复率分别为５５．６％和７７．８％；高敏感、低顺应性两种充盈期膀胱测压（ＣＭＧ）术后恢复率分别为７７．８％、４０％，自发或诱发无抑制性收缩波６例全部恢复，而高顺应性ＣＭＧ２例术后无恢复。结果认为，解除梗阻后，ＤＩ多在６个月内恢复，有剩余尿、高龄、病程长，术后恢复可能性小；不同ＣＭＧ能反映逼尿肌受损的程度，预示术后逼尿肌不稳定恢复的可能性。
Since 1987,74 cases of unstable bladder were diagnosed on urodynamic study and 53 (71.6%) were found to be accompanied by lower urinary obstruction which was then surgically relieved. Followup urodynamic studies showed that after the operation detrusor instability (DI) disappeared in 68.9% of the patients in the first 6 months but only a few more did so in the following 6 months, the disappearence of DI occurred in 71.1% in 12 months, only a little better than that in the first 6 months. In patients who have had residual urine or suffered from retention recovered poorer (42.1% vs. 88.5%). Those with the course of the disease longer than 1 year and the age of the patient being greater than 60 also had poorer recovery (61.5% and 55.6% vs. 78.9% and 77.8%). 77.8% of high sensitivity CMG and 40% of low compliance recovered. All the 6 cases with automatic or evoked uninhibited contractive wave recovered well while 2 cases of high compliance CMG did not. The results revealed that after the relief of obstruction, DI in most patients disappeared in 6 months. Those with residual urine, a longer course of the disease or in older patients, recovery would be poorer.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1998年第5期274-276,共3页
Chinese Journal of Urology
关键词
不稳定膀胱
尿道梗阻
尿动力学
Unstable bladder Urethral obstruction Urodynamics
