女性压力性尿失禁严重程度与尿动力学参数的相关性分析

Relationship between the genuine stress incontinence index and severity in the women

目的探讨女性真性压力性尿失禁(G S I)患者临床表现严重程度与尿动力学参数的相关性。方法50例G S I患者安排填写国际尿失禁咨询委员会尿失禁问卷简表(IC I-Q-SF),依据其评分分为三组,Ⅰ组问卷表评分≤7分,Ⅱ组7分<评分<14分,Ⅲ组14分≤评分≤21分。分别记录三组排尿日记并测定其尿动力学参数。结果功能性膀胱容量和va lsa lva漏尿点压在Ⅰ、Ⅱ、Ⅲ组之间逐渐降低,具显著性差异(P<0.05)。Ⅰ组最大尿道压、最大尿道闭合压、最大尿流率时逼尿肌压力和最大逼尿肌压力均显著高于Ⅱ、Ⅲ组(P<0.05)。三组总排尿量、总排尿次数、最大尿流率、膀胱顺应性、最大膀胱压测定容量和功能性尿道长度无显著性差异(P>0.05)。结论有选择地应用排尿日记指标和尿动力学参数可有效地评估女性尿失禁患者的严重程度。

Objective： To assess the relation between the genuine stress incontinence（GSI） index and severity in the women. Methods; The international continence inquiring committee＇s questionnaire （ICI-Q-SF） and urodynamics were performed on 50 women with GSI. The patients were divided into three groups according to the score of ICI-Q-SF, group Ⅰ ; the score ≤7, group Ⅰ ： 7 〈 the score 〈14, group Ⅱ： 14≤the score 421. The patients uritrary diaies were noted and the urodynamics parameters were measured. Results,, Valsalva leak point pressure and functional capacity significantly decreased from group Ⅰ to group Ⅰ （P〈0. 05）. Max urethral pressure, max urethral closure pressure, max detrusor pressure in voiding and detrusor pressure at max flow rate of group Ⅰ were significantly higher than those of group Ⅰ and Ⅱ （P〈0. 05）. Conclusion： It is suggested that selective use of urodynamics parameter and urinary diary may predict the severity of women with genuine stress incontinence.