Reid R E, Owens G F, Laor E, Tolia B M, Freed S Z
Urology. 1987 Jan;29(1):107-10. doi: 10.1016/0090-4295(87)90616-9.
Unstable bladder in the female has been the subject of controversy with regard to its etiology, identification, and treatment. One hundred thirty consecutive female patients referred with incontinence were evaluated as to their symptoms and urodynamic findings. A stress cystometrogram, systematically done, was introduced and observations were made regarding certain findings on the urodynamic examination. These criteria were used subsequently for making a diagnosis of unstable bladder. Forty per cent of these patients were found to have an unstable bladder. History of frequency and urgency correlated best with a diagnosis in 70 to 80 per cent of our cases, and the new stress cystometrogram proved to be the most sensitive urodynamic test (78%) for detecting this condition. A systematic approach such as we describe is advocated as a first step toward gaining a better understanding of this puzzling entity.
女性不稳定膀胱在病因、识别及治疗方面一直存在争议。对连续收治的130例因尿失禁前来就诊的女性患者进行了症状及尿动力学检查结果评估。引入了系统进行的应力性膀胱测压法，并对尿动力学检查中的某些结果进行了观察。这些标准随后被用于诊断不稳定膀胱。发现这些患者中有40%患有不稳定膀胱。在我们70%至80%的病例中，尿频和尿急病史与诊断的相关性最佳，新的应力性膀胱测压法被证明是检测这种情况最敏感的尿动力学检查（78%）。我们所描述的这种系统方法被提倡作为更好地理解这个令人困惑的病症的第一步。
