Fischer W, Richter J, Lamm D
Zentralbl Gynakol. 1975;97(20):1224-32.
Striving to improve diagnosis of the functional urinary incontinence in female patients, we carried out colpocystographic examinations in 78 women. With inconspicuous X--ray photos (22) the rest of the diagnostic parameters--with the exception of one--indicate mostly an irritable bladder (4) or at the very least a notable component of an irritable bladder (56). With radiographic findings suggesting stress incontinence (56) a complete (19) or least a partial (27) coincidence with the clinical findings, was likewise more often than divergent findings (only 10 prevalent irritable bladders). Methodology of examination and analysis are explained. The essential advantage of the colpocystographic method over the traditional urethrocystographic methods is according to our hitherto existing experiences, that we can additionally recognize adhesions between urethra, bladder and vagina, which we have to operate. These adhesions can involve both a stress incontinence and an irritable bladder. Consequently this method is suitable for the complex diagnosis of the functional urinary incontinence in female patients.
为努力改善女性患者功能性尿失禁的诊断，我们对78名女性进行了阴道膀胱造影检查。在X线照片不明显的22例中，除1例之外，其余诊断参数大多表明膀胱易激惹（4例），或至少有明显的膀胱易激惹成分（56例）。在放射学检查结果提示压力性尿失禁的56例中，与临床检查结果完全相符（19例）或至少部分相符（27例）的情况同样比结果不一致的情况更常见（仅10例膀胱易激惹）。文中解释了检查和分析方法。根据我们目前已有的经验，阴道膀胱造影方法相对于传统尿道膀胱造影方法的主要优势在于，我们能够额外识别出尿道、膀胱和阴道之间需要手术处理的粘连情况。这些粘连可能同时导致压力性尿失禁和膀胱易激惹。因此，该方法适用于女性患者功能性尿失禁的综合诊断。
