【摘要】 目的 探讨尿动力学检查在诊断、分型和治疗女性排尿困难中的意义。方法 前瞻性分析48例女性排尿困难为主要症状的患者尿动力学特点，根据其结果进行分型，采用不同治疗方法，并观察疗效。结果 尿动力学检测结果正常者5例(10.4%)，异常者43例(89.6%)。后者分型为:膀胱出口梗阻39例(90.7%);膀胱逼尿肌不稳定25例(58.1%);膀胱逼尿肌功能低下14例(32.6%);低顺应性膀胱14例(32.6%);膀胱感觉过敏9例(20.9%)，后尿道高压9例(20.9%)。各型可有混合型。48例中:治愈36例(75.0%)，改善6例(12.5%)，无效6例(12.5%)，总有效率87.5%。结论 膀胱尿道功能紊乱是本病的直接尿动力学原因，而膀胱出口梗阻(包括尿道高压)是本病主要的初始病因;尿动力学检查对女性排尿困难的诊断，分型，指导临床治疗具有重要意义。

    关键词 排尿困难 尿动力学 诊断 治疗

    The significance of urodynamics in therapy of female difficulty in voiding

    Liang Yueyou，Dai Yuping，Liang Weijie，et al.

    Department of Urology，the First Affiliated Hospital of Sun Yat-sen University，Guangzhou510080.

    【Abstract】 Objective To explore the significance of urodynamics in diagnosis，typing and therapy of female difficulty in voiding.Methods Prospective method was used to analyze the urodynamic characteristics of48female cases whose main symptom was difficulty in voiding.Typing were definited，corresponding therapies were made acˉcording to urodynamic results and curative effects were observed.Results 5cases(10.4%)were normal and43cases(89.6%)were abnormal according to urodynamic results.The abnormal group was further typed into:bladder outlet obstruction in39cases(90.7%);overactive bladder in25cases(58.1%);detrusor hyporeflexia in14cases(32.6%);low compliance bladder in14cases(32.6%);bladder hyperesthesia in9cases(20.9%);high pressure in posterior urethera in9cases(20.9%);mixed type could exist in one case.In all these48cases ......