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[膀胱测压法:水测压法与“微尖端”法在评估压力性尿失禁中的比较值]

[Cystometry: comparative values of water manometry and the "Mikro-Tip" method in the assessment of urinary stress incontinence].

作者信息

Meyer S, de Grandi P, Chenevart P

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1985;14(2):171-7.

PMID:4020047
Abstract

Urethro-cystometry carried out on 20 patients with urinary stress incontinence which was clinically apparent gives quite different results if it is carried out using the water manometry technique of Bech-Heidenreich or using a Mikro-Tip technique without perfusion. Comparing the two techniques shows: --little or no difference in the measurement of the functional length of the urethra and the maximum pressure of closure of the urethra. --no difference between the form of the urethral surface at rest and the bladder surface on effort. --on the other hand it shows a very definite difference in the urethral surfaces on effort which depends on the large differences occasioned by the transmission factor. The latter is weak with the Heidenreich method and corresponds to the clinical state; it is raised with the micro-tip method, which contradicts the clinical evidence.

摘要

对20例临床上明显存在尿失禁的患者进行尿道膀胱测压,如果采用贝希 - 海登赖希的水柱测压技术或不进行灌注的微尖端技术进行测量,会得到截然不同的结果。比较这两种技术可以发现:——在尿道功能长度和尿道最大闭合压力的测量上差异很小或没有差异。——静息时尿道表面形态与用力时膀胱表面形态之间没有差异。——另一方面,它显示出用力时尿道表面存在非常明显的差异,这取决于传递因子所引起的巨大差异。后一种情况在海登赖希方法中较弱,与临床状态相符;而在微尖端方法中则升高,这与临床证据相矛盾。

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