摘要
膀胱活动低下症(UAB)是尿控领域的研究热点,目前对UAB研究并不深入,为下尿路功能障碍的诊治带来了许多严重问题。本文对UAB的定义、分类、危险因素、发病机制及诊断标准进行了阐述,并针对UAB相关的一些临床问题进行了详细的论述,如良性前列腺增生(BPH)及女性压力性尿失禁(SUI)合并UAB患者的手术指征与手术预期问题、逼尿肌反射亢进伴收缩力受损(DHIC)患者的治疗策略问题、口服抗胆碱能药物及膀胱壁注射A型肉毒毒素(BTX-A)可能导致尿潴留的问题等。
Underactive bladder (UAB) is a hot research topic in the field of urinary continence. At present ,the research on UAB is not in-depth, which brings many serious problems for the diagnosis and treatment of lower urinary tract dysfunction. In this paper, the definition, classification, risk factors, pathogenesis and diagnostic criteria of UAB are described. Some clinical problems related to UAB are discussed in details, such as the indications and surgical expectations of benign prostatic hyperplasia (BPH) and female stress urinary incontinence (SUI) with UAB, strategic issues in detrusor hyperactivity with impaired contractility (DHIC) , oral anticholinergic drugs, and bladder wall injection of botulinum toxin A may lead to urinary retention.
作者
廖利民
王建业
Liao Limin;Wang Jianye(Department of Urology,China Rehabilitation Research Center,Department of Urology of Capital Medical University,Beijing 100068,China)
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2018年第11期805-808,共4页
Chinese Journal of Urology