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女性正常尿动力学参数:第二部分——侵入性尿动力学

Normal urodynamic parameters in women: part II--invasive urodynamics.

作者信息

Mahfouz Wally, Al Afraa Tala, Campeau Lysanne, Corcos Jacques

机构信息

Department of Urology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.

出版信息

Int Urogynecol J. 2012 Mar;23(3):269-77. doi: 10.1007/s00192-011-1585-y. Epub 2011 Oct 20.

DOI:10.1007/s00192-011-1585-y
PMID:22011933
Abstract

INTRODUCTION AND HYPOTHESIS

This literature review, providing reference ranges of normal variability in urodynamic parameters, is the second part of a two-part article. The first part addresses non-invasive urodynamics (UDS), while the second part addresses invasive techniques.

METHODS

Data were obtained through MEDLINE from articles published between January 1956 and February 2011, International Continence Society meeting abstracts, and standardization reports. Search terms included cystometry, urethral pressure profilometry, leak point pressure, video UDS, normal volunteer, pressure flow studies, and electromyography.

RESULTS

Normal values varied widely in the literature. However, with the help of clinical data, it was possible to define "normality" ranges for most of the different parameters.

CONCLUSIONS

Urodynamic evaluation of lower urinary tract (LUT) function is not a physiological test. However, it is still the best available tool for LUT function assessment. Even if normality in UDS can be defined, tests must always be interpreted against patient characteristics, complaints, and symptoms.

摘要

引言与假设

本综述旨在提供尿动力学参数正常变异的参考范围,是一篇分两部分的文章的第二部分。第一部分论述非侵入性尿动力学(UDS),第二部分论述侵入性技术。

方法

通过MEDLINE获取1956年1月至2011年2月发表的文章、国际尿控协会会议摘要以及标准化报告中的数据。检索词包括膀胱测压、尿道压力描记法、漏点压力、影像尿动力学、正常志愿者、压力流研究以及肌电图。

结果

文献中的正常值差异很大。然而,借助临床数据,有可能为大多数不同参数定义“正常”范围。

结论

下尿路(LUT)功能的尿动力学评估并非生理测试。然而,它仍是评估LUT功能的最佳可用工具。即便可以定义UDS的正常范围,但测试结果仍须结合患者的特征、主诉和症状进行解读。

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Fourth International Consultation on Incontinence Recommendations of the International Scientific Committee: Evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence.第四届尿失禁国际咨询会:国际科学委员会的建议:尿失禁、盆腔器官脱垂及大便失禁的评估与治疗
Neurourol Urodyn. 2010;29(1):213-40. doi: 10.1002/nau.20870.
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Parameters of bladder function in pre-, peri-, and postmenopausal continent women without detrusor overactivity.无逼尿肌过度活动的绝经前、围绝经期和绝经后控尿女性的膀胱功能参数
Neurourol Urodyn. 2007;26(3):356-61. doi: 10.1002/nau.20381.
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Refining diagnosis of anatomic female bladder outlet obstruction: comparison of pressure-flow study parameters in clinically obstructed women with those of normal controls.
Cureus. 2023 Aug 28;15(8):e44232. doi: 10.7759/cureus.44232. eCollection 2023 Aug.
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Magnetic soft robotic bladder for assisted urination.用于辅助排尿的磁性软机器人膀胱。
Sci Adv. 2022 Aug 26;8(34):eabq1456. doi: 10.1126/sciadv.abq1456. Epub 2022 Aug 24.
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Urodynamics in Early Diagnosis of Diabetic Bladder Dysfunction in Women: A Systematic Review and Meta-Analysis.尿动力学在女性糖尿病膀胱功能障碍早期诊断中的应用:系统评价和荟萃分析。
Med Sci Monit. 2022 Jul 9;28:e937166. doi: 10.12659/MSM.937166.
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Non-invasive bladder function measures in healthy, asymptomatic female children and adolescents: A systematic review and meta-analysis.健康、无症状的女性儿童和青少年的非侵入性膀胱功能测量:系统评价和荟萃分析。
J Pediatr Urol. 2021 Aug;17(4):452-462. doi: 10.1016/j.jpurol.2021.04.020. Epub 2021 May 11.
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