Sekido Noritoshi
Dept. of Urology, Toho University Medical Center Ohashi Hospital.
Gan To Kagaku Ryoho. 2014 Jan;41(1):23-6.
The incidence of permanent lower urinary tract dysfunction(LUTD)after radical pelvic surgery has been estimated to range from 15% to 20%. Although this surgery is often curative, it is unfortunate that patients suffer from permanent LUTD. Urodynamic study can help in adequate management of the lower urinary tract, in order to prevent long-term upper and lower urinary tract complications. In addition to residual urine measurements, uroflowmetry is required as a screening or follow-up tool for the evaluation of LUTD. Reasonable knowledge of clean intermittent catheterization is also indispensable.
根治性盆腔手术后永久性下尿路功能障碍(LUTD)的发生率估计在15%至20%之间。尽管这种手术通常具有治愈性,但患者遭受永久性LUTD仍令人遗憾。尿动力学研究有助于对下尿路进行适当管理,以预防上、下尿路的长期并发症。除了测量残余尿量外,尿流率测定作为评估LUTD的筛查或随访工具也是必需的。对清洁间歇性导尿的合理了解同样不可或缺。