Blanc E, Hermieu J F, Ravery V, Moulinier F, Delmas V, Boccon-Gibod L
Service d'Urologie, Hôpital Bichat, Paris, France.
Prog Urol. 1999 Feb;9(1):88-94.
To assess the contribution of a questionnaire in the evaluation of patients operated for urinary stress incontinence.
From 1988 to 1996, 42 patients underwent bladder neck suspension for urinary stress incontinence. Only 7 patients had no history of pelvic surgery, 24 patients presented pure urinary stress incontinence and 19 presented mixed incontinence, 37 patients were evaluable with a mean follow-up of 2 years. The evaluation consisted of two aspects: clinical assessment, based on review of the case files, showing that 77% of patients were continent, and a questionnaire (non-validated translation of "Q7" and "UD16"). This questionnaire evaluated quality of life (7 items) and symptoms. Each item was scored from 0 to 3.
To interpret the results we divided the three main scores into three intervals, the first third corresponding to good results. The percentage of good results for the overall score, quality of life score and symptom score was 62%, 73% and 46% respectively. The most discriminative questions of the questionnaire can be used to analyse urine leaks related to effort, urgency episodes of incontinence. A score of 0 or 1 was considered to be a good result. The percentage of good results for these three questions was therefore 72%, 60% and 64%, respectively.
The cure rate therefore varies as a function of the criteria selected: the questionnaire allows the urologist to more accurately assess the patient's postoperative state.
评估一份问卷在尿失禁手术患者评估中的作用。
1988年至1996年，42例患者因尿失禁接受膀胱颈悬吊术。只有7例患者无盆腔手术史，24例患者表现为单纯性尿失禁，19例患者表现为混合性尿失禁，37例患者可进行评估，平均随访2年。评估包括两个方面：基于病历回顾的临床评估显示77%的患者尿失禁得到控制，以及一份问卷（“Q7”和“UD16”的未经验证的翻译版）。该问卷评估生活质量（7项）和症状。每个项目的评分从0到3。
为了解释结果，我们将三个主要评分分为三个区间，前三分一对应良好结果。总体评分、生活质量评分和症状评分的良好结果百分比分别为62%、73%和46%。问卷中最具区分性的问题可用于分析与用力相关的尿漏、急迫性尿失禁发作情况。0分或1分被认为是良好结果。因此，这三个问题的良好结果百分比分别为72%、60%和64%。
治愈率因此因所选标准而异：该问卷可使泌尿科医生更准确地评估患者的术后状态。
