Chang R, Wang F, Zhang J Z, Wu L Y, Zhang C H, Zhou F, Guo W, Zhang P
Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.
Zhonghua Yi Xue Za Zhi. 2023 Feb 14;103(6):449-451. doi: 10.3760/cma.j.cn112137-20220518-01095.
We retrospectively included 53 (9 males, 44 females) patients who underwent rest urethral pressure profilometry (RUPP) due to lower urinary tract symptoms (LUTS) in Beijing Chaoyang Hospital from May 2021 to March 2022. The age of patients was (55±16) (25-76) years old. The clinical diagnoses of the included patients with lower urinary tract symptoms were classified as: benign prostatic hyperplasia in 9 cases, interstitial cystitis in 1 case, stress urinary incontinence in 11 cases and non-obstructive dysuria in 32 cases. The full set of urodynamic examination was composed of bladder pressure measurement during the filling period, pressure flow study (PFS) and RUPP. All the urodynamic examination was performed by air-charged catheter (ACC) and corresponding equipment. All patients underwent RUPP measurements twice. The vesical pressure (Pves) values were (35.30±6.15), (35.81±5.91) cmHO (1 cmHO=0.098 kPa); the Pura@max were (141.91±36.53), (145.02±38.85) cmHO; functional urethral length were (41.70±16.34), (42.55±16.40) mm; the maximum urethral closure pressure for the two RUPP measurements were (106.57±36.44), (109.41±39.27) cmHO. There was no statistical difference between the two RUPP measurements (>0.05). The reproducibility of the RUPP measurements obtained by ACC is good and deserves further study.
我们回顾性纳入了2021年5月至2022年3月在北京朝阳医院因下尿路症状（LUTS）接受静息尿道压力测定（RUPP）的53例患者（9例男性，44例女性）。患者年龄为（55±16）（25 - 76）岁。纳入的下尿路症状患者的临床诊断分类为：良性前列腺增生9例，间质性膀胱炎1例，压力性尿失禁11例，非梗阻性排尿困难32例。全套尿动力学检查包括充盈期膀胱压力测量、压力 - 流率研究（PFS）和RUPP。所有尿动力学检查均采用气充式导管（ACC）及相应设备进行。所有患者均进行了两次RUPP测量。膀胱压力（Pves）值分别为（35.30±6.15）、（35.81±5.91）cmH₂O（1 cmH₂O = 0.098 kPa）；最大尿道闭合压（Pura@max）分别为（141.91±36.53）、（145.02±38.85）cmH₂O；功能性尿道长度分别为（41.70±16.34）、（42.55±16.40）mm；两次RUPP测量的最大尿道闭合压分别为（106.57±36.44）、（109.41±39.27）cmH₂O。两次RUPP测量之间无统计学差异（>0.05）。ACC获得的RUPP测量结果的可重复性良好，值得进一步研究。
