50 year-old above middle and old aged male, if repeatedly or presents above continually frequent micturition, the night of urine number of times 1 time, the urination outset is slow, urinates the line to be incapable, urinates the line to be interrupted and symptom one months and so on above drip, even assumes carries on the aggravation works as the paramount consideration prostate gland proliferation sickness, only want carries on the diagnosis through the below method:
(1) the rectum refers to examines: Inspection method which simplest and must carry on for the prostate gland proliferation, when inspection must pay attention to prostate gland’s dissection demarcation line, the size, the quality of material and whether to have the induration, when prostate gland proliferation, its quality of material is hard, the surface is smooth, central ditch shoal or vanishing. Rous proposed in 1985 the prostate gland rectum points to the indexing which examines and estimates heavy method (to see 138 asks).
(2) ultrasound inspection: Not only leaves the proliferation observable prostate gland’s shape, the size and the nature, moreover may analyze the Underlying tissues structure, for the differential diagnosis which gets sick with him provides the basis, does not have the damage to the patient, may carry on the inspection repeatedly. And passes through the rectum ultrasound inspection to be possible to be more accurate, and may demonstrate time the patient urination in urethra’s distortion, shifting, thus reflects the urinary bladder export obstruction the dynamic change. Is helpful after the abdomen ultrasound inspection to the determination remaining urine (remaining amount of urine are more accurately), whether to merge the urine road stone and whether there is the kidney water existence.
(3) urine flow mechanics inspection: May under the judgment the urine road obstruct whether to have and the degree, the biggest urine rate of discharge (Qmax) is simplest compares the reliable parameter, its normal value for a masculine >15 milliliter/second, when amount of urine when 200~500 milliliters, obtains the result to compare, if the amount of urine is short in 200 milliliters, its reliability reduces, but with relative urination resistance (RVR=T/MFR, T is urination time, MFR is the biggest urine rate of discharge) the computation may make up this insufficiency, its normal value for ≤2, 20. Some conditions may also further make the pressure - urine class - myo- electrograph determination, obtains the detrusor pressure, at the beginning of the feeling capacity, the urinary bladder capacity and the elasticity, biggest urethra parameters and so on closure pressure, functionality urethra length and remaining urine.
In order to remove whether under the existence the urine road obstruction does cause the renal pelvis ureter expansion and the estimate kidney function, but may also carry on the vein urine road radiography inspection, if the patient take the naked eye hematuria as the cardinal symptoms, may make the cystoscope inspection. Other also have the prostate gland radiography, the prostate gland special antigen (PSA) to test and so on. To the prostate gland proliferation’s sickness diagnosis, (whether there is can take the patient whole body condition for example cardiovascular and lungs illness), but should also unify the medical history to carry on the analysis, from the simplicity to complex, reduces as far as possible has the damage inspection
Powered by
Recent Comments