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[压力-压力剖面图在女性压力性尿失禁诊断中的解读]

[Interpretation of the stress pressure profile in the diagnosis of female stress incontinence].

作者信息

Behr J, Winkler M

机构信息

Klinik für Frauenheilkunde mit Poliklinik, Universität Erlangen-Nürnberg.

出版信息

Geburtshilfe Frauenheilkd. 1987 Oct;47(10):713-6. doi: 10.1055/s-2008-1036030.

DOI:10.1055/s-2008-1036030
PMID:3678788
Abstract

In 94 stress pressure profiles the electronically measured occlusion pressure under stress with a bladder filling of 100 ml in dorsosacral position and 300 ml in sitting position was compared with the computed value in the proximal and medial thirds of the urethra. Electronic measurement furnishes low, statistically confirmed occlusion pressure values. With a bladder filling of 300 ml in sitting position, urodynamic assessment of incontinence on the basis of the electronic occlusion pressure furnishes corresponding findings in over 70% of patients, while the extent of agreement with the computed values seems unsatisfactory. In stress pressure profiles, in accordance with clinical considerations and radiological studies, the proximal urethra should also be assessed as the first portion of the continence-preserving zones. The occlusion pressure, electronically measured under routine conditions, is the parameter which furnishes the most information for the urodynamic diagnosis of stress incontinence.

摘要

在94例压力-压力曲线中,将电子测量的在背骶位膀胱充盈100 ml和坐位膀胱充盈300 ml时应激状态下的闭塞压与尿道近端和中间三分之一处的计算值进行了比较。电子测量得出的闭塞压值较低,且经统计学证实。在坐位膀胱充盈300 ml时,基于电子闭塞压对尿失禁进行尿动力学评估,在超过70%的患者中得出了相应结果,然而与计算值的一致程度似乎并不理想。在压力-压力曲线中,根据临床考虑和放射学研究,近端尿道也应作为控尿区的第一部分进行评估。在常规条件下电子测量的闭塞压是为压力性尿失禁的尿动力学诊断提供最多信息的参数。

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