Kujansuu E, Wirta P, Ylä-Outinen A
Ann Chir Gynaecol Suppl. 1985;197:19-22.
Thirty-one female patients were investigated 4.8 +/- 2.5 years after pubococcygeal repair for stress urinary incontinence (SUI). Eighteen patients had a successful operation with total cure or marked improvement and 13 had a failed operation. The results of the operation were further evaluated clinically by detailed patient history and urodynamically by urethrocystometry (UCM). The severity of the SUI symptoms was evaluated by recording the physical stress causing incontinence, restrictions of daily activities and social life and use of protective pads. The symptoms were graded by the SUI score ranging from 0 to 10. The bladder pressure rise necessary for urinary leakage during coughing (The SUI threshold) was measured by UCM. The mean SUI score was 2.2 +/- 1.0 and 6.9 +/- 4.8 after successful and failed operations, respectively and the SUI threshold was 85 cm H2O and 57.5 cm H2O after successful and failed operations, respectively. The SUI threshold had a significant negative correlation with the SUI score. It is suggested that the SUI threshold is a valuable addition to UCM determining objectively the results of incontinence surgery. It should be measured each time an UCM is performed.
对31名女性患者在耻骨尾骨肌修复治疗压力性尿失禁（SUI）后4.8±2.5年进行了调查。18例患者手术成功，完全治愈或显著改善，13例手术失败。通过详细的患者病史对手术结果进行进一步临床评估，并通过尿道膀胱测压法（UCM）进行尿动力学评估。通过记录导致失禁的身体压力、日常活动和社交生活的限制以及使用防护垫来评估SUI症状的严重程度。症状按SUI评分从0到10进行分级。通过UCM测量咳嗽时漏尿所需的膀胱压力上升（SUI阈值）。成功手术和失败手术后的平均SUI评分分别为2.2±1.0和6.9±4.8，成功手术和失败手术后的SUI阈值分别为85 cm H2O和57.5 cm H2O。SUI阈值与SUI评分呈显著负相关。建议SUI阈值是对UCM的有价值补充，可客观确定失禁手术的结果。每次进行UCM时都应测量该阈值。
