van Waalwijk van Doorn E S, Remmers A, Janknegt R A
Department of Urology, University Hospital Maastricht, The Netherlands.
J Urol. 1991 Jul;146(1):124-31. doi: 10.1016/s0022-5347(17)37730-3.
Conventional urodynamic tests are short and performed under nonphysiological circumstances. The introduction of ambulatory urodynamic tests is a promising improvement of our diagnostic abilities with respect to these disadvantages. To test the value of our ambulatory urodynamic method we evaluated 100 patients with urinary incontinence and/or voiding problems by both diagnostic methods. Pre-classification according to medical history was compared with the urodynamic diagnosis obtained from the conventional and extramural ambulatory monitoring methods, and the combination of both techniques in patients with urinary incontinence. The conventional method showed no abnormalities in 32% of the patients, compared to only 3% with the ambulatory method. The conventional method confirmed pre-classified stress incontinence in 36% of the patients, compared to only 14% by extramural ambulatory monitoring. Combining both methods, pre-classified stress incontinence was confirmed in 43% of the patients. Pre-classified urge incontinence was confirmed in 47%, 59% and 84%, and pre-classified mixed incontinence was confirmed in 23%, 29% and 55% of the patients using the conventional, extramural ambulatory monitoring and combination methods, respectively. An over-all correlation with the pre-classification in the incontinence group was found in 34% with the conventional method and 43% with extramural ambulatory monitoring. Combining both diagnostic tools showed a correlation with the pre-classification in 67% of the patients. These results show the promising impact of ambulatory urodynamic testing in the near future.
传统尿动力学检查时间较短且在非生理状态下进行。动态尿动力学检查的引入有望改善这些不足，提高我们的诊断能力。为评估我们的动态尿动力学检查方法的价值，我们用这两种诊断方法对100例尿失禁和/或排尿问题患者进行了评估。将根据病史进行的预分类与通过传统及院外动态监测方法获得的尿动力学诊断结果进行比较，并将这两种技术结合用于尿失禁患者。传统方法显示32%的患者无异常，而动态检查方法仅为3%。传统方法确诊了36%的预分类为压力性尿失禁的患者，而院外动态监测仅为14%。两种方法结合后，43%的患者确诊为预分类的压力性尿失禁。使用传统方法、院外动态监测方法及两种方法结合时，分别有47%、59%和84%的患者确诊为预分类的急迫性尿失禁，23%、29%和55%的患者确诊为预分类的混合性尿失禁。在失禁组中，传统方法与预分类的总体相关性为34%，院外动态监测为43%。两种诊断工具结合显示67%的患者与预分类相关。这些结果表明动态尿动力学检查在不久的将来具有广阔前景。
