Clinical application of urodynamic studies in the diagnosis and treatment in LUTS as the main symptoms of chronic prostatitis patients
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摘要: 目的 探讨尿动力学检查在疑似慢性前列腺炎的青年男性伴下尿路症状(LUTS)患者评价中的临床应用价值.方法 回顾性分析了63例17～39岁的临床疑似慢性前列腺炎的青年男性伴LUTS患者的尿动力学检查资料.排除有糖尿病史、神经源性疾病、泌尿系统外伤、手术史或急性尿路感染的患者.所有患者均接受多通道的尿动力学检查.对检查前后的诊断进行比较.结果 63例患者平均年龄为(26.7±3.9)岁；74.6％(47/63例)有储尿期症状,66.7％(42/63例)有排尿期症状.74.6％ (47/63例)患者出现异常尿动力学检查结果,包括顺应性降低22.2％(14/63例),逼尿肌过度活动25.4％(16/63例)；逼尿肌-外括约肌协同失调15.9％(10/63例),膀胱出口梗阻30.2％(19/63例)和逼尿肌收缩力降低或逼尿肌无收缩17.5％(11/63例).结论 临床疑似慢性前列腺炎的青年男性伴LUTS患者的流行病学病因多种多样.临床诊断和治疗常依靠经验,并不准确.尿动力学检查在评价临床疑似慢性前列腺炎的青年男性伴LUTS患者中具有重要价值.
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