Phua S M, Low J J, Chew S Y
Department of Gynaecological Oncology & Urology, Kandang Kerbau Hospital, Singapore.
Singapore Med J. 1992 Apr;33(2):139-42.
A total of 84 patients had urodynamic evaluations. Twenty-two patients complained of stress incontinence, 41 patients complained of stress incontinence with other urinary symptoms and 21 complained of other urinary symptoms but not stress incontinence. Of those complaining of stress incontinence alone, 4 (18.2%) had detrussor instability, 11 (50%) had genuine stress incontinence and 7 (31%) had neither condition. Of those complaining of stress incontinence with other symptoms, 16 (39%) had detrussor instability, 19 (46.3%) had stress incontinence and 6 (14.6%) had neither condition. Of those complaining of other urinary symptoms except stress incontinence, 5 (23.8%) had detrussor instability, 3 (14.3%) had stress incontinence and 13 (61.9%) had neither condition. Urinary symptoms were found to have little correlation with the final diagnosis except for enuresis which was associated with detrussor instability.
共有84例患者接受了尿动力学评估。22例患者主诉压力性尿失禁，41例患者主诉压力性尿失禁伴有其他泌尿系统症状，21例患者主诉有其他泌尿系统症状但无压力性尿失禁。在仅主诉压力性尿失禁的患者中，4例（18.2%）存在逼尿肌不稳定，11例（50%）为真性压力性尿失禁，7例（31%）两者均无。在主诉压力性尿失禁伴有其他症状的患者中，16例（39%）存在逼尿肌不稳定，19例（46.3%）为压力性尿失禁，6例（14.6%）两者均无。在主诉除压力性尿失禁外的其他泌尿系统症状的患者中，5例（23.8%）存在逼尿肌不稳定，3例（14.3%）为压力性尿失禁，13例（61.9%）两者均无。除遗尿与逼尿肌不稳定有关外，发现泌尿系统症状与最终诊断几乎没有相关性。
