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逼尿肌收缩力参数与瓦特因子的计算与比较。

The calculation and comparison of the Detrusor Contractility Parameter and Watts Factor.

机构信息

Bristol Urological Institute, Southmead Hospital, Bristol, UK.

School of Physiology, Pharmacology, and Neuroscience, University of Bristol, Bristol, UK.

出版信息

Neurourol Urodyn. 2018 Nov;37(8):2745-2752. doi: 10.1002/nau.23745. Epub 2018 Jul 4.

DOI:10.1002/nau.23745
PMID:29974503
Abstract

AIMS

To test the significance of association between a validated index of detrusor contractility, v , the Watts Factor, and the Detrusor Contractility Parameter, t ; and to test whether t depends on outflow tract resistance as indicated by Bladder Outlet Obstruction Index (BOOI).

METHODS

Thirty-seven pressure-flow traces from 20 male and 17 female patients were analyzed and forms of the Watts Factor, t and BOOI were compared with v .

RESULTS

The Detrusor Contractility Parameter, t , is significantly associated with v for both women and men without a high degree of bladder outlet obstruction. The Watts Factor only had a significant association with v at the point of maximum flow in women.

CONCLUSIONS

The Detrusor Contractility Parameter (DCP) (t ), can be measured easily from the pressure flow curves of a urodynamic test. The Watts Factor at maximum urine flow, WF , can be readily calculated, but is only applicable to women. In both women and men without a high degree of bladder outlet obstruction, DCP is better associated with true detrusor contractility than any Watts Factor analysis.

摘要

目的

检验逼尿肌收缩性的验证指数 v、沃茨因子(Watts Factor)和逼尿肌收缩参数 t 之间的关联的显著性,并检验 t 是否取决于膀胱出口梗阻指数(Bladder Outlet Obstruction Index,BOOI)所表示的流出道阻力。

方法

分析了 20 名男性和 17 名女性患者的 37 条压力-流量曲线,并对沃茨因子 t 和 BOOI 与 v 进行了比较。

结果

在没有高度膀胱出口梗阻的情况下,逼尿肌收缩参数 t 与 v 对男性和女性均有显著的相关性。沃茨因子仅在女性最大尿流时与 v 有显著相关性。

结论

逼尿肌收缩参数(DCP)(t)可以从尿动力学测试的压力-流量曲线中轻松测量。在没有高度膀胱出口梗阻的男性和女性中,DCP 与真正的逼尿肌收缩性的相关性优于任何沃茨因子分析。

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