半坐卧位对良性前列腺增生患者压力﹣流率测定的影响.docVIP

半坐卧位对良性前列腺增生患者压力﹣流率测定的影响 王 斌，汤 平，邓向荣，姜少军，伍穗珊，谢克基 （广州医学院附属广州市第一人民医院泌尿外科，广州 510180） 摘 要：目的 探讨45°半坐卧位对良性前列腺增生（BPH）患者压力﹣流率测定（PFS）的准确性和可行性。方法 2007年11月-2008年5月在我科住院拟行前列腺切除术的BPH患者，随机分为A、B两组，每例先后连续行两次PFS测定，A组先取45°半坐卧位后改站立位检查，B组则先取站立位后改45°半坐卧位检查。结果 共入选60例，A、B组各30例。其中48例（80％）在2种体位PFS排尿期均有尿流数据，48对数据采用两阶段交叉设计方差分析：半坐卧位和站立位的最大尿流率分别为（6.079±3.485）ml/s和（6.390±3.903）ml/s，均数95％可信区间分别为（5.712，6.436）ml/s和（6.033，6.757）ml/s，P＝0.214；最大尿流率时逼尿肌压力分别为（72.844±37.800）cmH2O和（82.917±38.681）cmH2O，均数95％可信区间分别为（70.736，74.808）cmH2O和（80.953，85.024）cmH2O，P＝0.000；AG数分别为（60.788±40.000）和（70.256±41.893），均数95％可信区间分别为（58.471，62.956）和（68.081，72.567），P＝0.000；URA值分别为（46.576±23.595）和（51.512±25.503），均数95％可信区间分别为（44.535，48.598）和（49.490，53.552），P＝0.001。余12例（20％）在站立位PFS排尿期能排尿，但在45°半坐卧位时不能排尿，未能得到完整PFS数据。结论 采用45°半坐卧位PFS检查会低估膀胱出口梗阻的严重程度，检查成功率亦低于站立位。 关键词：良性前列腺增生；膀胱出口梗阻；压力﹣流率测定；体位 中图法分类号： 文献标识码：A Effect of semi-reclining position on pressure-flow studies in patients with benign prostatic hyperplasia WANG Bin, TANG Ping, DENG Xiang-rong, JIANG Shao-jun, WU Sui-shan, XIE Ke-ji (Guangzhou First People’s Hospital, Guangzhou Medical College, Guangzhou 510180, China) Abstract: Objective To investigate the accuracy and feasibility of the pressure-flow studies (PFS) carried out in 45° semi-reclining position in patients with benign prostatic hyperplasia (BPH). Methods The cases of BPH admitted to our department to receive prostatectomy between November, 2007 and May, 2008 were divided into 2 groups randomly. Before the operation, each patient continuously underwent PFS twice in 45° semi-reclining and standing position, respectively. A total of 60 cases were included, either group A or group B consisted of 30 cases. The PFS was carried out in 45° semi-reclining position first, and then in standing position in group A, but conversely in group B. The data were analyzed by UNIANOVA with SPSS 13.0. Results Of the 60 cases, 48 (80%) had good flow curves in both 45° semi-r