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目的:评价尿动力学在下尿路症状(LUTS)患者病因诊断中的重要价值。方法:对324例不同年龄的LUTS患者行尿流率、压力容积、压力-流率、前列腺压和肌电图检查,根据检查结果,行相应的临床治疗措施,比较治疗前后IPSS、QOL的变化。结果:根据尿动力学结果提示LUTS病因有5种,膀胱出口梗阻55.9%、逼尿肌受损、逼尿肌括约肌失协调、不稳定膀胱、膀胱容量减少。制定相应治疗方案,取得良好临床效果。结论:尿动力学检查揭示LUTS的深层次病因,在LUTS患者的诊断、鉴别诊断及治疗方式的选择上具有重要的意义,值得临床推广应用。
Objective: To evaluate the value of urodynamics in the etiological diagnosis of lower urinary tract symptoms (LUTS). Methods: 324 cases of LUTS patients of different ages underwent urinary flow rate, pressure volume, pressure-flow rate, prostate pressure and electromyography. According to the examination results, corresponding clinical treatment measures were performed to compare the changes of IPSS and QOL before and after treatment . Results: According to urodynamic results, there were 5 etiologies of LUTS, 55.9% of bladder outlet obstruction, detrusor damage, detrusor sphincter disharmony, unstable bladder and decreased bladder capacity. Formulate the appropriate treatment plan, and achieved good clinical results. Conclusion: Urodynamic examination reveals the underlying causes of LUTS. It is of great significance in the diagnosis, differential diagnosis and treatment of LUTS patients. It is worthy of clinical application.