Duggan Paul
Discipline of Obstetrics and Gynaecology, The University of Adelaide, Adelaide, South Australia, Australia.
Aust N Z J Obstet Gynaecol. 2010 Dec;50(6):556-61. doi: 10.1111/j.1479-828X.2010.01224.x. Epub 2010 Sep 16.
Preoperative urodynamic testing is recommended by experts, but evidence for clinical benefit is limited.
To determine whether urodynamic stress incontinence could be confirmed in women presenting with a history of stress incontinence.
History and urodynamic diagnoses of 444 women presenting to a general unit between June 2003 and July 2007 are described.
Urodynamic Stress Incontinence (USI) or mixed USI and detrusor overactivity were observed in 61% reporting any stress incontinence. 15% who reported no stress incontinence had USI. Compared with a normal urodynamic diagnosis, incontinence occurred more frequently in all other diagnostic categories (P < 0.0001) and was worst in the USI and mixed groups (P < 0.0004).
Urodynamic Stress Incontinence is a more severe entity than stress incontinence diagnosed by history. It is yet to be established if this information benefits patients.
专家推荐术前进行尿动力学检查，但临床获益的证据有限。
确定有压力性尿失禁病史的女性是否可确诊为尿动力学压力性尿失禁。
描述了2003年6月至2007年7月间到一家综合科室就诊的444名女性的病史和尿动力学诊断情况。
在报告有任何压力性尿失禁的患者中，61%观察到尿动力学压力性尿失禁（USI）或混合性USI及逼尿肌过度活动。15%报告无压力性尿失禁的患者存在USI。与正常尿动力学诊断相比，在所有其他诊断类别中尿失禁更频繁发生（P < 0.0001），且在USI组和混合组中最严重（P < 0.0004）。
尿动力学压力性尿失禁比通过病史诊断的压力性尿失禁更严重。此信息是否对患者有益尚待确定。
