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固有括约肌功能障碍型女性压力性尿失禁的尿动力学诊断

Urodynamic evaluation of female stress urinary incontinence due to intrinsic sphincter deficiency

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【作者】 吕坚伟薛蔚陈伟周立新刘东明黄翼然

【Author】 LU Jian-wei,XUE Wei,CHEN Wei,et al.Department of Urology,Renji Hospital Affiliated to Shanghai Second Medical University,Shanghai 20001,China

【机构】 上海第二医科大学附属仁济医院泌尿外科上海第二医科大学附属仁济医院泌尿外科 200001200001

【摘要】 目的 探讨尿动力学诊断固有括约肌功能障碍型 (ISD)女性压力性尿失禁的临床价值。 方法  30例患者中Ⅲ型 11例 ,Ⅱ /Ⅲ型 (解剖和ISD混合型 ) 19例 ,分别行漏尿点测压 (LPP)和最大尿道关闭压 (MUCP)测定 ,比较分析各组数据。 结果 Ⅲ型患者中LPP <5 0cmH2 O 10例 ,Ⅱ /Ⅲ型患者中LPP 5 0~ 10 0cmH2 O 17例 ,两组LPP值差异有显著性意义 (P <0 .0 1) ;而MUCP值的分布无特异性 ,两组间差异无显著性意义 (P =0 .5 5 )。 结论 LPP值测定对于诊断ISD及尿失禁的分型有重要意义。

【Abstract】 Objective To evaluate urodynamic diagnosis of intrinsic sphincter deficiency (ISD) in female stress urinary incontinence. Methods Leak-point pressures (LPP) and maximum urethra close pressures (MUCP) were detected in 30 patients with female stress urinary incontinence,among whom there were 11 cases with type Ⅲ,19 type Ⅱ/Ⅲ. Results Of type Ⅲ incontinence the LPP was less than 50 cmH 2O in 10 out of 11 and in 17 out of 19 type Ⅱ/Ⅲ incontinence the LPP 50~100 cmH 2O ( P <0.01).There was no significant difference between the MUCP of the two groups. Conclusions LPP determination is important in the assessment of intrinsic sphincter deficiency.

【关键词】 尿失禁女性尿动力学
【Key words】 Urinary incontinenceFamaleUrodynamics
  • 【文献出处】 中华泌尿外科杂志 ,Chinese Journal of Urology , 编辑部邮箱 ,2003年06期
  • 【分类号】R695
  • 【被引频次】7
  • 【下载频次】123
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