“咳嗽试验”：压力性尿失禁是否存在与之相关的特征性尿道膀胱运动模式？
"The cough game": are there characteristic urethrovesical movement patterns associated with stress incontinence?
作者信息
Lewicky-Gaupp Christina, Blaivas Jerry, Clark Amanda, McGuire Edward J, Schaer Gabriel, Tumbarello Julie, Tunn Ralf, DeLancey John O L
机构信息
Division of Gynecology, Pelvic Floor Research Group, Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA.
出版信息
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Feb;20(2):171-5. doi: 10.1007/s00192-008-0738-0. Epub 2008 Oct 11.
This study was carried out to determine whether five experts in female stress urinary incontinence (SUI) could discover a pattern of urethrovesical movement characteristic of SUI on dynamic perineal ultrasound. A secondary analysis of data from a case-control study was performed. Ultrasounds from 31 cases (daily SUI) and 42 controls (continent volunteers) of similar age and parity were analyzed. Perineal ultrasound was performed during a single cough. The five experts, blinded to continence status and urodynamics, classified each woman as stress continent or incontinent. Correct responses ranged from 45.7% to 65.8% (mean 57.4 +/- 7.6). Sensitivity was 53.0 +/- 8.8% and specificity 61.2 +/- 12.4%. The positive predictive value was 48.8 +/- 8.2% and negative predictive value was 65.0 +/- 7.3%. Inter-rater reliability, evaluated by Cohen's kappa statistic, averaged 0.47 [95% CI 0.40-0.50]. Experts could not identify a pattern of urethrovesical movement characteristic of SUI on ultrasound.
本研究旨在确定五位女性压力性尿失禁（SUI）专家能否通过动态会阴超声发现SUI特有的尿道膀胱运动模式。对一项病例对照研究的数据进行了二次分析。分析了31例（每日发生SUI）和42例年龄和产次相似的对照（控尿志愿者）的超声检查结果。在单次咳嗽期间进行会阴超声检查。这五位专家在不知道控尿状态和尿动力学情况的前提下，将每位女性分类为压力性控尿或失禁。正确回答率在45.7%至65.8%之间（平均为57.4±7.6）。敏感性为53.0±8.8%，特异性为61.2±12.4%。阳性预测值为48.8±8.2%，阴性预测值为65.0±7.3%。通过科恩kappa统计量评估的评分者间信度平均为0.47[95%CI 0.40 - 0.50]。专家们无法在超声上识别出SUI特有的尿道膀胱运动模式。
Zotero 插件