摘要
目的比较常规尿动力学(CUD)和动态尿动力学检查(AUM)对女性压力性尿失禁(SUI)患者膀胱尿道功能异常检出率及尿动力学参数,探讨AUM在评估女性SUI中的应用价值。方法随机选取门诊女性SUI患者30例。年龄32~63岁,平均(49.4±9.4)岁。病程1~9年,平均(4.7±2.8)年。行尿失禁问卷表简表(ICI-Q—SF)问卷调查,根据ICI-Q—SF评分将患者分为轻、中、重3组,其中轻度尿失禁9例、中度15例、重度6例。行CUD检查和3个周期的AUM检查,分别记录并进行比较。结果30例患者AUM的SUI和逼尿肌过度活动(DO)检出率分别为90%和37%,明显高于CUD的70%和10%(P〈0.05)。对ICI.Q—SF评分为中、重度尿失禁且AUM与CUD同时检出SUI(伴或不伴急迫性尿失禁)的21例患者尿动力学参数进行比较发现,AUM组患者的腹压漏尿点压(ALPP)和排尿量显著低于CUD组(P〈0.05),逼尿肌压力显著高于CUD组(P〈0.05)。结论AUM较CUD能更容易监测到患者SUI和DO的发生,SUI阳性率增高可能与AUM组患者ALPP值偏低有关。对于有临床症状而CUD检查未见明显异常的患者,可以进一步行AUM检查,降低SUI和DO的漏诊率。
Objective To compare the application of ambulatory urodynamie (AUM) and conven- tional urodynamic (CUD) in detecting stress urinary incontinence (SUI) and detrusor overactivity (DO) in females. Methods Incontinence questionnaire short form (ICI-Q-SF) , CUD and AUM were administra- ted on 30 female patients with the mean age of 49.4 (32 - 63) years. The duration of symptom was 4.7 (1 -9) years. The patients were divided into 3 groups of mild (n =9), moderate (n = 15) and severe (n = 6) according to ICI-Q-SF. Three mieturition cycles were recorded during AUM. Results SU] and DO detected by AUM were 90% and 37% , significantly more than those by CUD of 70% and 10% (P 〈 0.05). Twenty-one moderate and severe SUI patients diagnosed by ICI-Q-SF, detected by AUM and CUD simultaneously showed that abdominal leak point pressure (ALPP) and voided volume were lower, and de- trusor pressure was higher recorded by AUM than those by CUD significantly ( P 〈 0.05 ). Conclusions SUI and DO are easier detected by AUM than by CUD. AUM is a useful additional tool in clinical practice for those patients CUD failed to explain their symptoms.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2013年第2期116-119,共4页
Chinese Journal of Urology
关键词
尿动力学
动态尿动力学检查
尿失禁
压力性
膀胱
过度活动性
女(雌)
性
Urodynamics
Ambulatory urodynamics monitoring
Urinary incontinence, stress
Urinary bladder, overactive
Female