Svigos J M, Matthews C D
Obstet Gynecol. 1977 Jul;50(1):9-12.
One hundred female patients complaining of urinary incontinence without evidence of associated disease or urinary infection were assessed by clinical appraisal and by simple cystometrogram. Discrepancies were apparent between the two methods of patients assessment. Treatment was primarily based on cystometrogram patterns, and included the surgical correction of the urethrovesical defect, the institution of a program of micturition retraining, or a combination of both methods. Based on a short follow-up assessment period, of those 68 patients chosen for surgery, 78% were cured and 91% were markedly improved. Bladder retraining programs alone were instituted for 32 patients, and a marked (72%) improvement rate was demonstrated. It is suggested that the cystometrogram has an integral and essential place in the assessment of female urinary incontinence and may be easily integrated into practice. Bladder retraining programs may be most usefully employed for some patients found to have bladder dysfunction.
对100名主诉尿失禁但无相关疾病或泌尿系统感染证据的女性患者进行了临床评估和简易膀胱测压。两种患者评估方法之间存在明显差异。治疗主要基于膀胱测压模式，包括尿道膀胱缺损的手术矫正、排尿再训练计划的制定或两种方法的联合使用。基于短期随访评估期，在选择手术的68例患者中，78%治愈，91%明显改善。仅对32例患者实施了膀胱再训练计划，显示出显著（72%）的改善率。建议膀胱测压在女性尿失禁评估中具有不可或缺的重要地位，并且可以很容易地应用于临床实践。膀胱再训练计划可能对一些发现有膀胱功能障碍的患者最有用。
