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学科主题: 泌尿外科学
题名:
良性前列腺增生导致肾积水的尿动力学机制
其他题名: Urodynamic studies on mechanism of hydronephrosis due to BPH
作者: 吴士良; 杨勇; 段继宏; 那彦群; 郭应禄
关键词: 前列腺增生症 ; 肾积水 ; 尿动力学
刊名: 中华泌尿外科杂志
发表日期: 2001
DOI: 10.3760/j:issn:1000-6702.2001.05.013
卷: 22, 期:5, 页:296-298
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的 分析良性前列腺增生(BPH)患者出现肾积水的尿动力学机制。 方法 116例膀胱出口梗阻≥Ⅲ度的BPH患者分为2组,无肾积水者98例为甲组,行普通尿动力学检查;有肾积水者18例为乙组,行影像尿动力学检查。对两组检查结果进行比较分析。 结果 甲乙两组的年龄分别为(68.3±6.8)岁和(70.4±7.8)岁。甲组梗阻度为Ⅲ、Ⅳ、Ⅴ、Ⅵ度者分别为26、29、21、22例,乙组分别为3、4、4、7例;两组的剩余尿量分别为(101±143)ml和(243±214)ml;不稳定性膀胱患者甲组为34例(35%),乙组为8例(44%);顺应性差者甲组为11例(11%),乙组为16例(89%)。所有18例有肾积水的患者行影像尿动力学检查,无1例出现膀胱输尿管返流。Logistic逐步回归统计发现,膀胱顺应性下降为唯一筛选出的危险因素(P<0.001)。 结论 BPH患者膀胱顺应性下降是导致肾积水的最重要危险因素,而患者的年龄、梗阻程度、剩余尿量、是否合并有不稳定膀胱以及有无膀胱输尿管返流与肾积水的出现无密切关系。 Objective To clarify the urodynamic mechanism of hydronephrosisdue to BPH. Methods From Jan.1998 to Dec.1999 116 patients with BPH whose degree of obstruction was three or more were evaluated.Pressure-Flow micturition studies were undertaken in 98 patients without hydronephrosis (group A); while Video-urodynamics were undertaken in the other 18 with hydronephrosis (group B). Results The average age of group A was (68.3±6.8) years old, group B being (70.4±7.8); The obstruction was Ⅲ degree in 26、Ⅳ in 29、Ⅴ in 21 and Ⅵ in 22 in the 98 patients, while it was Ⅲ in 3、Ⅳ in 4、Ⅴ in 4 and Ⅵ in 7 in the 18 with hydronephrosis;the average residual urine were (101±143)ml versus (243±214)ml. There were 34 unstable bladders (35%) in group A versus 8(44%) in group B; Poorly compliant bladders was found in 11(11%) of group A versus 16(89%);in group B.Vesico-ureteric reflux didn't occur in all the 18 patients with hydronephrosis . With logistic regression, the poorly compliant bladders was the only selected risk factor for hydronephrosis. Conclusions Low bladder compliance in a BPH patient is the cardinal risk factor for hydronephrosis,whereas patient's age, obstruction degree, residual urine, unstable bladder and vesico-ureteric reflux have not much correlation with hydronephrosis.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/45455
Appears in Collections:北京大学第一临床医学院_泌尿外科_期刊论文

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作者单位: 100034 北京大学泌尿外科研究所,北京大学第一医院泌尿科

Recommended Citation:
吴士良,杨勇,段继宏,等. 良性前列腺增生导致肾积水的尿动力学机制[J]. 中华泌尿外科杂志,2001,22(5):296-298.
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