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[386例患者尿道不同长度参数与尿失禁、绝经状态及年龄的相关性比较]

[Comparison of various length parameters of the urethra in 386 patients in relation to continence, menopausal status and age].

作者信息

Anderl P, Kölle D

机构信息

Universitätsklinik für Frauenheilkunde, Innsbruck.

出版信息

Geburtshilfe Frauenheilkd. 1989 Oct;49(10):872-5. doi: 10.1055/s-2008-1036102.

DOI:10.1055/s-2008-1036102
PMID:2583430
Abstract

368 urodynamically investigated women of the University Hospital of Innsbruck (Austria) were separated into four groups depending on their incontinence status (either stress incontinence or not) and depending on previous incontinence surgery. In this collective of patients, we compared the urethral length, the absolute and relative functional urethral length and the absolute and relative length from the bladder to the point of maximum urethral closure pressure with the patients' age and menopausal status. The analysis showed a dependence of the urethral length on age and menopausal status in women having undergone no previous incontinence surgery, who suffered from genuine stress incontinence. In these patients, the relative length from the bladder to the point of maximum urethral closure pressure also depended on the menopausal status. In women with no previous surgical treatment showing no symptoms of genuine stress incontinence, we could find a relationship between the age of the patients and the relative length to the point of maximum urethral pressure. Furthermore we could show that, in continent patients, the distance bladder - point of maximum urethral closure pressure was more often longer than 60% of the functional urethral length than in patients suffering from genuine stress incontinence.

摘要

奥地利因斯布鲁克大学医院的368名接受尿动力学检查的女性,根据其尿失禁状况(压力性尿失禁与否)及既往尿失禁手术史被分为四组。在这组患者中,我们将尿道长度、绝对和相对功能性尿道长度以及从膀胱到最大尿道闭合压点的绝对和相对长度与患者的年龄和绝经状态进行了比较。分析表明,在未曾接受过尿失禁手术且患有真性压力性尿失禁的女性中,尿道长度与年龄和绝经状态有关。在这些患者中,从膀胱到最大尿道闭合压点的相对长度也取决于绝经状态。在未曾接受过手术治疗且无真性压力性尿失禁症状的女性中,我们发现患者年龄与到最大尿道压点的相对长度之间存在关联。此外,我们还发现,在控尿患者中,膀胱至最大尿道闭合压点的距离比患有真性压力性尿失禁的患者更常超过功能性尿道长度的60%。

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