超声估算膀胱重量是否是评估下尿路症状患者的有用工具？
Is ultrasound estimation of bladder weight a useful tool in the assessment of patients with lower urinary tract symptoms?
作者信息
Panayi Demetri C, Khullar Vikram, Digesu G Alessandro, Hendricken Caroline, Fernando Ruwan, Tekkis Paris
机构信息
Department of Urogynaecology, St. Marys Hospital, Imperial College Healthcare NHS Trust, Praed Street, London W2 1NY, UK.
出版信息
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Dec;20(12):1445-9. doi: 10.1007/s00192-009-0964-0.
INTRODUCTION AND HYPOTHESIS
The aim of this study was to assess the relationship between ultrasound estimation of bladder weight (UEBW), symptoms and urodynamic diagnosis.
METHODS
Women with lower urinary tract symptoms underwent urodynamics studies and measurement of UEBW at a fixed bladder volume.
RESULTS
Women with overactive bladder symptoms had a median UEBW of 48.3 g (95% CI 44-52), with stress urinary incontinence a median UEBW of 35.1 g (95% CI 30-41) and with mixed urinary incontinence a median UEBW of 40.0 g (95% CI 37-43) (p<0.001). Women with detrusor overactivity had a median UEBW of 48.0 g (95% CI 46-51), with urodynamic stress incontinence a median UEBW of 30 g (95% CI 29-31) and detrusor overactivity and urodynamic stress incontinence a median UEBW of 37.3 g (95% CI 33-41) (p<0.001).
CONCLUSIONS
UEBW is higher in women with overactive bladder and detrusor overactivity. UEBW may be a useful tool in women with lower urinary tract symptoms.
引言与假设
本研究旨在评估膀胱重量的超声估计值（UEBW）与症状及尿动力学诊断之间的关系。
方法
有下尿路症状的女性接受了尿动力学研究，并在固定膀胱容量下测量UEBW。
结果
膀胱过度活动症症状的女性UEBW中位数为48.3克（95%置信区间44 - 52），压力性尿失禁女性的UEBW中位数为35.1克（95%置信区间30 - 41），混合性尿失禁女性的UEBW中位数为40.0克（95%置信区间37 - 43）（p<0.001）。逼尿肌过度活动的女性UEBW中位数为48.0克（95%置信区间46 - 51），尿动力学压力性尿失禁女性的UEBW中位数为30克（95%置信区间29 - 31），逼尿肌过度活动合并尿动力学压力性尿失禁女性的UEBW中位数为37.3克（95%置信区间33 - 41）（p<0.001）。
结论
膀胱过度活动症和逼尿肌过度活动的女性UEBW较高。UEBW可能是有下尿路症状女性的一种有用工具。
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