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瓦尔萨尔瓦漏点压力标准化的必要性。

The need for standardization of the valsalva leak-point pressure.

作者信息

Swift S E, Utrie J W

机构信息

Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston 29425, USA.

出版信息

Int Urogynecol J Pelvic Floor Dysfunct. 1996;7(4):227-30. doi: 10.1007/BF01907077.

DOI:10.1007/BF01907077
PMID:10895809
Abstract

The Valsalva leak-point pressure is a new test being advocated for evaluation of urethral sphincter function. However, there is currently no standardized technique for performing the test, and therefore it is difficult to draw conclusions regarding its ability to define the degree of function or dysfunction of the urethral sphincter mechanism. This article reviews the current literature regarding the parameters and techniques for performing the Valsalva leak-point pressure test. Based on what is known, recommendations for testing parameters and conditions under which the test should be performed are provided. This test may play a role in the evaluation of the urethral sphincter and give prognostic information regarding surgical outcomes, but first the technique for performing the test should be standardized and agreed upon. Until this is done no general conclusions can be drawn regarding the usefulness of this test in the evaluation of the incontinent woman.

摘要

瓦尔萨尔瓦漏点压是一项用于评估尿道括约肌功能的新测试方法。然而,目前尚无执行该测试的标准化技术,因此很难就其界定尿道括约肌机制功能或功能障碍程度的能力得出结论。本文回顾了有关执行瓦尔萨尔瓦漏点压测试的参数和技术的当前文献。基于已知信息,提供了测试参数以及进行该测试应具备的条件的建议。该测试可能在评估尿道括约肌方面发挥作用,并提供有关手术结果的预后信息,但首先执行该测试的技术应标准化并得到认可。在此之前,无法就该测试在评估尿失禁女性中的有用性得出一般性结论。

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A multicentered comparison of measurements obtained with microtip and external water pressure transducers.

本文引用的文献

1
Clinical assessment of urethral sphincter function.尿道括约肌功能的临床评估。
J Urol. 1993 Nov;150(5 Pt 1):1452-4. doi: 10.1016/s0022-5347(17)35806-8.
2
Collagen injection therapy for urinary incontinence.胶原蛋白注射疗法治疗尿失禁。
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Evaluation of current urodynamic testing methods in the diagnosis of genuine stress incontinence.当前尿动力学检测方法在真性压力性尿失禁诊断中的评估
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Comparison of measurements obtained with microtip and external water pressure transducers.使用微尖端传感器和外部水压传感器获得的测量结果比较。
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A comparison of stress leak-point pressure and maximal urethral closure pressure in patients with genuine stress incontinence.真性压力性尿失禁患者的应力性漏尿点压力与最大尿道闭合压的比较
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Obstet Gynecol. 1995 Sep;86(3):349-52. doi: 10.1016/0029-7844(95)00173-O.
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Valsalva leak point pressures in women with genuine stress incontinence: reproducibility, effect of catheter caliber, and correlations with other measures of urethral resistance. Continence Program for Women Research Group.真性压力性尿失禁女性的瓦尔萨尔瓦漏点压:可重复性、导管管径的影响以及与其他尿道阻力测量指标的相关性。女性尿失禁研究小组。
Am J Obstet Gynecol. 1995 Aug;173(2):551-7. doi: 10.1016/0002-9378(95)90281-3.
7
Correlation of urodynamic measures of urethral resistance with clinical measures of incontinence severity in women with pure genuine stress incontinence. The Continence Program for Women Research Group.单纯性真性压力性尿失禁女性尿道阻力的尿动力学测量与尿失禁严重程度临床测量的相关性。女性控尿项目研究组。
Am J Obstet Gynecol. 1995 Aug;173(2):407-12; discussion 412-4. doi: 10.1016/0002-9378(95)90260-0.
8
Urethral closure pressure and leak-point pressure in incontinent women.尿失禁女性的尿道闭合压和漏尿点压力
Obstet Gynecol. 1995 Nov;86(5):839-42. doi: 10.1016/0029-7844(95)00263-Q.
9
Urodynamic findings in patients after failure of stress incontinence operations.压力性尿失禁手术失败患者的尿动力学检查结果
Prog Clin Biol Res. 1981;78:351-60.
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The low pressure urethra as a factor in failed retropubic urethropexy.低压尿道作为耻骨后尿道悬吊术失败的一个因素。
Obstet Gynecol. 1987 Mar;69(3 Pt 1):399-402.