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男性高位膀胱颈梗阻:症状学、尿动力学及手术结果

High flow infravesical obstruction in men: symptomatology, urodynamics and the results of surgery.

作者信息

Gerstenberg T C, Andersen J T, Klarskov P, Ramirez D, Hald T

出版信息

J Urol. 1982 May;127(5):943-5. doi: 10.1016/s0022-5347(17)54140-3.

DOI:10.1016/s0022-5347(17)54140-3
PMID:7086997
Abstract

High flow infravesical obstruction in male patients with severe prostatism is defined by a maximum flow rate of more than 15 ml. per second and a vesical pressure exceeding 100 cm. water at maximum flow rate. During a 9-month period urodynamic screening of 225 patients referred to our hospital with prostatism revealed high flow infravesical obstruction in 16 (7 per cent). Transurethral surgery of the prostate or bladder neck was performed in 11 of the patients, with good results observed in symptomatology as well as in maximum flow rate. A urodynamic screening program is suggested to establish the diagnosis so that these patients can benefit from surgical treatment.

摘要

重度前列腺增生男性患者的高流量膀胱颈梗阻定义为最大尿流率超过每秒15毫升,且最大尿流率时膀胱压力超过100厘米水柱。在9个月期间,对我院收治的225例前列腺增生患者进行尿动力学筛查,发现16例(7%)存在高流量膀胱颈梗阻。其中11例患者接受了经尿道前列腺或膀胱颈手术,症状及最大尿流率均有良好改善。建议开展尿动力学筛查项目以明确诊断,使这些患者能从手术治疗中获益。

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