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尿动力学:检查当前 UDS 测试的作用。在最近的 AUA 尿动力学和膀胱过度活动症指南以及 VALUE 研究的背景下,尿动力学测试的作用是什么?

Urodynamics: examining the current role of UDS testing. What is the role of urodynamic testing in light of recent AUA urodynamics and overactive bladder guidelines and the VALUE study?

机构信息

Louisiana State University and Ochsner Clinic Foundation Urology Resident, 1542 Tulane Ave, Suite 547, New Orleans, LA, 70112, USA,

出版信息

Curr Urol Rep. 2013 Oct;14(5):403-8. doi: 10.1007/s11934-013-0361-6.

DOI:10.1007/s11934-013-0361-6
PMID:23904217
Abstract

Urodynamics testing is a diagnostic assessment of the lower urinary tract system composed of multiple tests to obtain physiologic data regarding lower urinary tract function (detrusor and outlet) during storage and emptying. The necessity of urodynamics has been both supported and challenged in various urologic conditions such as urinary incontinence, neurogenic bladder, lower urinary tract symptoms, and bladder outlet obstruction. This review discusses the most recent studies with regards to the utility of urodynamics in current practice, highlighting the recent American Urologic Association Adult Urodynamics and Overactive Bladder Guidelines and the Value of Urodynamic Evaluation study.

摘要

尿动力学检查是对下尿路系统进行的一种诊断评估,包括多项测试,以获取与下尿路功能(储尿和排尿期的逼尿肌和尿道)相关的生理数据。在各种泌尿科疾病中,如尿失禁、神经性膀胱、下尿路症状和膀胱出口梗阻等,尿动力学检查的必要性得到了支持和挑战。本文综述了最近关于尿动力学在当前实践中的应用的研究,重点介绍了最近的美国泌尿科协会成人尿动力学和膀胱过度活动症指南以及尿动力学评估研究的价值。

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Urodynamics: examining the current role of UDS testing. What is the role of urodynamic testing in light of recent AUA urodynamics and overactive bladder guidelines and the VALUE study?尿动力学:检查当前 UDS 测试的作用。在最近的 AUA 尿动力学和膀胱过度活动症指南以及 VALUE 研究的背景下,尿动力学测试的作用是什么?
Curr Urol Rep. 2013 Oct;14(5):403-8. doi: 10.1007/s11934-013-0361-6.
2
Re: Urodynamics: examining the current role of UDS testing. What is the role of urodynamic testing in light of recent AUA urodynamics and overactive bladder guidelines and the VALUE study?关于:尿动力学:审视尿动力学检查的当前作用。鉴于美国泌尿外科学会(AUA)近期的尿动力学和膀胱过度活动症指南以及VALUE研究,尿动力学检查的作用是什么?
J Urol. 2015 Apr;193(4):1311-4. doi: 10.1016/j.juro.2015.01.060. Epub 2015 Jan 19.
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Practical use of the new American Urological Association adult urodynamics guidelines.新美国泌尿协会成人尿动力学指南的实际应用。
Curr Urol Rep. 2013 Jun;14(3):240-6. doi: 10.1007/s11934-013-0317-x.
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Do patients with symptoms and signs of lower urinary tract dysfunction need a urodynamic diagnosis? ICI-RS 2013.有下尿路功能障碍症状和体征的患者需要进行尿动力学诊断吗?国际尿控学会-2013年研讨会。
Neurourol Urodyn. 2014 Jun;33(5):581-6. doi: 10.1002/nau.22580. Epub 2014 May 20.
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Pre-operative urodynamics in women with stress urinary incontinence increases physician confidence, but does not improve outcomes.压力性尿失禁女性患者的术前尿动力学检查可增强医生信心,但无法改善治疗结果。
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Detrusor overactivity is missed by stopping urodynamic investigation at a bladder volume of 500 mL.在膀胱容量达到 500 毫升时停止尿动力学检查,可能会漏诊逼尿肌过度活动。
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Is Urodynamics Necessary when Assessing a Patient with Male Lower Urinary Tract Symptoms?评估男性下尿路症状患者时是否需要尿动力学检查?
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本文引用的文献

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Pre-operative urodynamics in women with stress urinary incontinence increases physician confidence, but does not improve outcomes.压力性尿失禁女性患者的术前尿动力学检查可增强医生信心,但无法改善治疗结果。
Neurourol Urodyn. 2014 Mar;33(3):302-6. doi: 10.1002/nau.22398. Epub 2013 Apr 1.
2
Renal deterioration in multiple sclerosis patients with neurovesical dysfunction.多发性硬化症伴神经原性膀胱功能障碍患者的肾脏恶化。
Mult Scler. 2013 Aug;19(9):1169-74. doi: 10.1177/1352458512474089. Epub 2013 Jan 21.
3
Practical uroflowmetry.实用尿流率测定法。
男性膀胱出口梗阻和逼尿肌活动减退诊断的深度学习与数值分析:一种新型尿动力学评估方案
Neurourol Urodyn. 2025 Feb;44(2):512-519. doi: 10.1002/nau.25665. Epub 2025 Jan 13.
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Research and progress on the mechanism of lower urinary tract neuromodulation: a literature review.下尿路神经调节机制的研究进展:文献综述。
PeerJ. 2024 Aug 12;12:e17870. doi: 10.7717/peerj.17870. eCollection 2024.
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Chlorogenic Acid Intravesical Therapy Changes Acute Voiding Behavior of Systemic Lipopolysaccharide Inflammation-Induced Cystitis Bladder in Mice.绿原酸膀胱内灌注疗法改变小鼠全身脂多糖炎症诱导膀胱炎膀胱的急性排尿行为。
Toxics. 2024 Mar 25;12(4):239. doi: 10.3390/toxics12040239.
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Correlation between overactive bladder and detrusor overactivity: a retrospective study.膀胱过度活动症与逼尿肌过度活动之间的相关性:一项回顾性研究。
Int Urogynecol J. 2023 Apr;34(4):867-875. doi: 10.1007/s00192-022-05274-7. Epub 2022 Jun 25.
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Ambulatory urodynamic monitoring: state of the art and future directions.门诊尿动力学监测:现状与未来方向。
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"Bladder Effect" - An Urodynamic Parameter to Distinguish Subtypes of Urinary Incontinence in Women.“膀胱效应”——一种区分女性尿失禁亚型的尿动力学参数。
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Evaluation of voiding assays in mice: impact of genetic strains and sex.小鼠排尿试验的评估:遗传品系和性别的影响。
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Urodynamic studies in adults: AUA/SUFU guideline.成人尿动力学研究:AUA/SUFU 指南。
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The value of preoperative urodynamics according to gynecologists and urologists with special interest in stress urinary incontinence.对于对压力性尿失禁有特别兴趣的妇科医生和泌尿科医生而言,术前尿动力学检查的价值。
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