Jha S, Toozs-Hobson P, Parsons M, Gull F
Department of Urogynaecology, Birmingham Women's Hospital, Birmingham, UK.
J Obstet Gynaecol. 2008 Apr;28(3):320-2. doi: 10.1080/01443610802044825.
The objective of this study was to evaluate whether preoperative urodynamics (UDS) changed the management of patients undergoing prolapse surgery, and if so in what way. A retrospective study of 72 randomly selected cases was conducted. We assessed which women undergoing prolapse surgery were more likely to undergo UDS and in what way UDS altered management. SPSS version 13 was used to analyse the data. A total of 60% (43/72) of the patients underwent preoperative UDS and 53% (23/43) of the women undergoing UDS had an abnormal result with prolapse reduction; 19% (8/43) had pure urodynamic stress incontinence; 30% (13/43) had detrusor overactivity either in isolation or as mixed incontinence. The surgical management was altered in 7% (3/43), who had an additional continence procedure performed as a consequence of the UDS. Preoperative UDS changed management in 33% (14/43) patients and in 7% (3/43 undergoing UDS) of patients, the surgical procedure was changed.
本研究的目的是评估术前尿动力学检查（UDS）是否会改变脱垂手术患者的治疗方案，若有改变，是何种方式。对72例随机选取的病例进行了回顾性研究。我们评估了哪些接受脱垂手术的女性更有可能接受UDS检查，以及UDS如何改变治疗方案。使用SPSS 13版软件分析数据。共有60%（43/72）的患者接受了术前UDS检查，接受UDS检查的女性中有53%（23/43）在脱垂复位时结果异常；19%（8/43）有单纯性尿动力学压力性尿失禁；30%（13/43）有逼尿肌过度活动，可为孤立性或混合性尿失禁。7%（3/43）的患者手术治疗方案因UDS检查结果而改变，增加了一项控尿手术。术前UDS改变了33%（14/43）患者的治疗方案，7%（3/43接受UDS检查的）患者手术方式发生了改变。
